After a tonsillectomy, which finding indicates a priority for nursing assessment?

Frequent swallowing after a tonsillectomy is a priority finding for nursing assessment because it may indicate the presence of bleeding. When children have their tonsils removed, there is a risk of postoperative bleeding, especially within the first few hours to days post-surgery. Frequent swallowing could suggest that the child is swallowing blood, which requires immediate attention to prevent complications such as hypovolemia or airway obstruction. Monitoring for signs of excessive bleeding is crucial, and if the swallowing is persistent and not related to hydration or oral secretions, it necessitates prompt intervention.

Low-grade fever may be a normal response post-surgery, as the body can react to surgical trauma, and it typically is not as immediate a concern as signs of bleeding. Difficulty breathing could also be an issue, especially if there's significant swelling or airway compromise, but the initial focus would be on assessing for bleeding as that can rapidly escalate into an emergency. Coughing can be related to irritation or secretions but does not carry the same immediate life-threatening implications as frequent swallowing in the context of a tonsillectomy. Thus, assessing for frequent swallowing stands out as the most crucial indicator for nursing assessment.