The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:

Encourage the client to cough and deep breathe every two hours, with her neck in a flexed position.

Maintain the client in a Fowler's position, with head neutral supported by pillows.

Maintain the client in a supine position, with sandbags placed on either side of her head and neck.

Encourage the client to turn head side to side, to promote drainage of oral secretions.

Answer and Explanation

The Correct Answer is B

Choice A Reason: Encouraging the client to cough and deep breathe every two hours, with her neck in a flexed position, is not a priority for a client after a total thyroidectomy, as it may increase the risk of bleeding or damage to the surgical site.

Choice B Reason: Maintaining the client in a Fowler's position, with head neutral supported by pillows, is a priority for a client after a total thyroidectomy, as it helps to reduce swelling and edema, prevent airway obstruction, and promote venous drainage.

Choice C Reason: Maintaining the client in a supine position, with sandbags placed on either side of her head and neck, is not a priority for a client after a total thyroidectomy, as it may impair breathing and circulation, increase pressure on the surgical site, and cause neck stiffness.

Choice D Reason: Encouraging the client to turn head side to side, to promote drainage of oral secretions, is not a priority for a client after a total thyroidectomy, as it may cause pain and discomfort, disrupt the sutures or drains, and increase the risk of infection.

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Correct Answer is B

Explanation

Choice A Reason: Redness and warmth of affected extremity are not signs of compartment syndrome, but they may indicate other conditions such as infection or inflammation.

Choice B Reason: Slow capillary refill is a sign of compartment syndrome, as it indicates that there is impaired blood flow to the tissues due to increased pressure within the fascial compartment.

Choice C Reason: Reduced level of consciousness is not a sign of compartment syndrome, but it may indicate other serious conditions such as head injury, stroke, or hypoxia.

Choice D Reason: Pain and bleeding are not specific signs of compartment syndrome, but they may occur due to the fracture or other causes.

A. Assist the RN to prepare an intravenous (IV) insulin infusion. B. Give the client 4 oz of orange juice. C. Check the client's capillary blood glucose. D. Assist the RN to administer 50% dextrose.

Correct Answer is C

Explanation

Choice A Reason: Assisting the RN to prepare an IV insulin infusion is not the first action that the nurse should take, as it may not be appropriate for the client's condition without knowing the blood glucose level.

Choice B Reason: Giving the client 4 oz of orange juice is not the first action that the nurse should take, as it may worsen the client's condition if the blood glucose level is high.

Choice C Reason: Checking the client's capillary blood glucose is the first action that the nurse should take, as it helps to determine if the client has hyperglycemia or hypoglycemia and guides the appropriate intervention.

Choice D Reason: Assisting the RN to administer 50% dextrose is not the first action that the nurse should take, as it may be harmful for the client if the blood glucose level is high.

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The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?

Correct Answer is B

Explanation

A nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The client's skin is warm and flushed and the pulse and respiratory rate are increased from the client's baseline. The nurse would first take which action?

Correct Answer is C

Explanation

The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:

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I can help you with formatting and editing the text. Here are the edited texts: Text 1: A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect?

A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?