A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
Semi-Fowler's with neck extended
semi-fowler's with neck in a neutral position
High Fowler's with neck extended
High Fowler's withzed in a neutral position
The Correct Answer is B
A. Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.
B. Semi-Fowler's with neck in a neutral position: This position is optimal for clients post-thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.
C. High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.
D. High Fowler's with the neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Palpitations, which are rapid or irregular heartbeats, are more commonly associated with hyperthyroidism, where there is an excess of thyroid hormones.
B. Incorrect. Diaphoresis, or excessive sweating, is not typically associated with hypothyroidism.
C. Incorrect. Exophthalmos, or bulging of the eyes, is a characteristic finding in hyperthyroidism (specifically Graves' disease) and is not typically seen in hypothyroidism.
D. Correct. Weight gain is a common finding in hypothyroidism. The slowing down of metabolic processes due to insufficient thyroid hormones can lead to an increase in body weight.
Correct Answer is A
Explanation
A. 6.3% - This HbA1c level indicates good blood glucose control. It suggests that the client has been effectively managing their blood sugar levels over the past few months.
B. 7.86 - This is an atypical way of presenting HbA1c values. Typically, it is expressed as a percentage, so this value needs to be converted to be compared accurately.
C. 10% - This HbA1c level is elevated and indicates poor blood glucose control. It suggests that the client's blood sugar levels have been consistently high over the past few months.
D. 8.56% - This HbA1c level is elevated and indicates poor blood glucose control. It suggests that the client's blood sugar levels have been consistently high over the past few months.
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