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. Shakiness is a common symptom of hypoglycemia, often caused by the body's release of adrenaline in response to low blood glucose levels.
B. Hypoglycemia typically causes an increase in hunger, not a decreased appetite, as the body attempts to correct low glucose levels.
C. Cool, clammy skin is associated with hypoglycemia due to the body's stress response, not warm, moist skin.
D. Increased thirst (polydipsia) is a symptom of hyperglycemia, not hypoglycemia.

A. "Test your blood glucose level every 6 hours." B. "Limit juices, soda, and gelatin." C. "Administer your usual daily dose of insulin." D. "Report a blood glucose level greater than 300."

Correct Answer is D

Explanation

A. Blood glucose levels should be checked every 3 to 4 hours during illness, not every 6 hours, due to the risk of hyperglycemia or diabetic ketoacidosis (DKA).
B. Juices, soda, and gelatin are allowed during illness as they provide quick carbohydrates, especially if the client is unable to eat solid foods.
C. The client may need to adjust insulin dosages based on blood glucose readings during illness, rather than simply administering the usual dose.
D. The nurse should instruct the client to report a blood glucose level greater than 300 mg/dL because this could indicate DKA or the need for more aggressive treatment.

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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

A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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