A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?

Dorsal Recumbent

Supine

Sims' position

Fowler's position

Answer and Explanation

The Correct Answer is D

A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.

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Correct Answer is C

Explanation

A. Normal pulse and respiratory rates do not indicate the expected tachycardia or Kussmaul respirations in DKA.
B. This option shows a slower heart rate, which is not typical of DKA where tachycardia is expected.
C. In diabetic ketoacidosis (DKA), clients typically exhibit tachycardia due to dehydration and deep, rapid Kussmaul respirations as the body attempts to correct the acidosis.
D. The vital signs in this option do not reflect the expected findings of DKA, such as tachycardia and deep respirations.

A. "My breath may have a fruity odor." B. "I will be more thirsty than usual." C. "I might experience blurry vision at times." D. "My appetite will be decreased."

Correct Answer is B

Explanation

A. "My breath may have a fruity odor." is incorrect. While fruity breath odor can occur with diabetic ketoacidosis (DKA), it is not a common early sign of hyperglycemia in general.

B. "I will be more thirsty than usual." is correct. Polydipsia (excessive thirst) is a hallmark symptom of hyperglycemia due to the body's attempt to compensate for increased blood glucose levels by drawing water out of cells, leading to dehydration.

C. "I might experience blurry vision at times." is incorrect. While blurry vision can occur due to fluid shifts in the lens caused by hyperglycemia, polydipsia is a more definitive and consistent early sign.

D. "My appetite will be decreased." is incorrect. Polyphagia (increased appetite) is a common symptom of hyperglycemia, not decreased appetite. This occurs because glucose is not properly entering the cells for energy, leading to increased hunger.

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A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been admitted to the hospital with the diagnosis of DKA. What vital signs should a nurse anticipate that the patient will exhibit?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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