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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cushing syndrome is characterized by central obesity (excess adipose tissue in the trunk), slender extremities, a moon-shaped face, and other features like a buffalo hump. This is due to prolonged exposure to elevated cortisol levels.
B. High levels of potassium and low levels of sodium are not associated with Cushing syndrome, which typically presents with hypokalemia and hypernatremia.
C. Wasting of the abdomen is not a feature of Cushing syndrome. The skin may become fragile, but it is not typically calloused.
D. Edema is not a primary feature; rather, fat redistribution to the trunk and face is more common.
Correct Answer is C
Explanation
A. Soaking feet is not recommended for clients with diabetes as it can cause skin maceration and increase the risk of infection.
B. Wearing sandals exposes the feet to injury and is not recommended for clients with diabetes. Closed-toed shoes are better for protecting the feet.
C. Daily foot inspection for sores, cuts, or bruises is essential for clients with diabetes to prevent infections and complications like diabetic ulcers.
D. Lotion should not be applied between the toes because it can promote excess moisture and fungal infections.
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