After a tonsillectomy, which action should a nurse question?

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After a tonsillectomy, the protocol for managing a child's care includes approaches that support healing and minimize discomfort. The action that should be questioned is suctioning every 2 hours.

Following a tonsillectomy, children are at risk for bleeding, especially in the first 24 to 48 hours post-operation. Excessive suctioning can cause trauma to the surgical site, increasing the risk of hemorrhage and disturbing the healing process. Therefore, suctioning should be performed judiciously and only when absolutely necessary, rather than on a fixed schedule.

In contrast, administering clear liquids is generally encouraged once the child is alert and can swallow safely, as it helps to keep them hydrated and dilutes any potential throat secretions. Positioning the child on the side is appropriate as it can facilitate drainage and prevent aspiration should vomiting occur. Using an ice collar can provide comfort and reduce swelling in the throat, thus helping to manage postoperative pain effectively. Each of these actions supports the child's recovery after the surgery, while routine suctioning at regular intervals does not align with the postoperative care needed for tonsillectomy patients.

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