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 D
Explanation
A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.
Correct Answer is ["2"]
Explanation
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
In this case:
- Desired dose = 6 mg
- Concentration = 4 mg/mL
Plugging the values into the formula:
- Volume = 6 mg / (4 mg/mL) = 1.5 mL
Rounded off to whole number= 2mL
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