Certified Pediatric Nurse (CPN)

What finding after a tonsillectomy suggests the child should be evaluated for potential complications?

1. The child is sleeping but appears to be swallowing frequently

2. There is coffee-colored emesis

3. The child is complaining of worsening throat pain

4. The child prefers to sleep and be undisturbed

The correct answer is: The child is sleeping but appears to be swallowing frequently

Frequent swallowing after a tonsillectomy is an important finding that can indicate potential complications such as bleeding. After the surgery, the child may experience some pain and discomfort; however, a sudden increase in swallowing can suggest that the child is attempting to clear blood from their throat, or it may indicate that they are experiencing a complication such as post-operative bleeding that requires immediate evaluation. Signs of excessive swallowing often prompt healthcare providers to check for active bleeding or other issues, as it is a behavior that deviates from expected recovery patterns. It’s crucial to monitor these signs closely in the post-operative care of a child who has undergone tonsillectomy, as prompt intervention may be necessary to address any serious complications.