The nurse is doing teaching with the caregivers of a child who has had a tonsillectomy the previous day and is being discharged. The nurse would reinforce that which of the following should be reported immediately to the child’s physician?

a. The child complains of a sore throat on the third postoperative day.

b. The child refuses to leave the ice collar on for more than 10 minutes.

c. The child vomits dark, old blood within 4 hours after being discharged.

d. The child has frequent swallowing around the sixth day after surgery

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