A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.

Take thyroid replacement medication, as ordered.

Watch for changes in body functioning, such as lethargy, restlessness, sensitivity to cold, and dry skin Report them to the physician,

Recognize the signs of dehydration

Carry injectable dexamethasone at all times.

Report any signs and symptoms of hypoglycemia

Answer and Explanation

Correct Answer : A,B,C,E

A. Take thyroid replacement medication, as ordered. This is crucial for individuals who have undergone a thyroidectomy, as they will likely need thyroid hormone replacement therapy to maintain normal thyroid function.

B. Watch for changes in body functioning, such as lethargy, restlessness, sensitivity to cold, and dry skin. Report them to the physician.

These symptoms could indicate potential issues with thyroid hormone levels and should be reported to the physician for further evaluation.

C. Recognize the signs of dehydration. This is important for overall health and can be especially relevant post-surgery. Dehydration can exacerbate other issues and slow down the healing process.

D. Carry injectable dexamethasone at all times. This is not a standard discharge instruction after a thyroidectomy. Dexamethasone may be prescribed for specific situations, but it is not a routine medication for all patients post-thyroidectomy.

E. Report any signs and symptoms of hypoglycemia. This is important because thyroidectomy can affect blood sugar levels. Monitoring for signs of hypoglycemia is crucial for the client's well-being.

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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.

A. Semi-Fowler's with neck extended B. semi-fowler's with neck in a neutral position C. High Fowler's with neck extended D. High Fowler's withzed in a neutral position

Correct Answer is B

Explanation

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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A client is being discharged after having a thyroidectomy. Which discharge instructions are appropriate for this client? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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