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 A

Explanation

A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.

A. "Drink 8 ounces of fluid every hour while awake." B. "Consume 15 grams of carbohydrates every 1 to 2 hours." C. "Monitor blood glucose levels every 4 hours." D. "Take the usual dosage of insulin."

Correct Answer is C

Explanation

A. Drinking fluids is important to prevent dehydration, but it is not the priority over monitoring blood glucose levels.
B. Consuming carbohydrates is necessary to prevent hypoglycemia, but this is not the primary concern during illness.
C. Monitoring blood glucose levels every 4 hours is the priority action because blood glucose can fluctuate significantly during illness, increasing the risk of hyperglycemia or diabetic ketoacidosis.
D. Taking the usual insulin dosage is essential, but it should be based on frequent glucose monitoring to adjust for illness-related changes in insulin requirements.

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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

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