A tonsillectomy is a surgical procedure that is done when a person’s tonsils and adenoids need to be removed. It may seem like a simple procedure because it is performed so frequently, but it is a serious operation. Usually afterward, there will be a little bit of swelling and soreness. However, the soreness and swelling should decrease like it would with any other surgical procedures.
A client may have to return to the medical surgical unit if there are problems. These problems may mean that the client has gotten an infection after the procedure. The client may be lethargic and tired. He or she may report having a sore throat. Tonsillectomies are done if the patient has had strep throat a lot of times. If this is the case, the patient should lie on his or her side.
Side-lying-rationale: lethargy puts the posttonsillectomy client at risk for aspirating blood from the surgical wound. therefore, placing the client in the side-lying position until hes fully awake is best. the semi-fowlers, supine, and high-fowlers positions dont allow for adequate oral drainage of a lethargic posttonsillectomy client and increase the risk of blood aspiration.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: hatfield, n. broadribbs introductory pediatric nursing, 6th ed. philadelphia: lippincott williams & wilkins, 2003, p. 328.