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 B
Explanation
A. Protein is important for metabolism, but increasing fiber is more directly beneficial for managing hypothyroidism symptoms.
B. Fiber intake should be increased because hypothyroidism often causes constipation due to a slowed digestive process. A high-fiber diet helps regulate bowel movements and prevent complications like bloating and discomfort.
C. Polyunsaturated fats do not specifically target hypothyroidism symptoms and excessive intake may interfere with thyroid function.
D. Monounsaturated fats are beneficial for overall health but do not directly address the symptoms of hypothyroidism.
Correct Answer is A
Explanation
A. Hyperparathyroidism leads to elevated calcium levels, which can cause bone demineralization, resulting in pathologic fractures due to weakened bones.
B. Fluid retention is more commonly associated with conditions like heart failure or renal issues, not hyperparathyroidism.
C. Dysphagia is not a typical complication of hyperparathyroidism and may be related to other gastrointestinal issues.
D. Impaired skin integrity is not directly linked to hyperparathyroidism, although immobility or other factors could contribute to skin issues.
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