A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
Semi-Fowler's with neck extended
semi-fowler's with neck in a neutral position
High Fowler's with neck extended
High Fowler's withzed in a neutral position
The Correct Answer is B
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Taking levothyroxine with breakfast may reduce its absorption due to food interference.
B. Correct. Levothyroxine should be taken in the morning on an empty stomach, at least 30 minutes before any other medications or food, to ensure optimal absorption.
C. Incorrect. Taking levothyroxine in the evening with a snack is not recommended. It should be taken on an empty stomach for best results.
D. Incorrect. Taking levothyroxine in the morning before breakfast is advised, but it should also be done on an empty stomach. Additionally, there's no need to avoid other medications if they do not interfere with its absorption.
Correct Answer is ["4"]
Explanation
Step 1: Convert the Prescribed Dose to Milligrams
The prescribed dose is 0.4 grams (g), but the medication strength is in milligrams (mg). We need to use the same unit for both.
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There are 1000 mg in 1 g.
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To convert 0.4 g to mg, we multiply by 1000.
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0.4×1000=400
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The prescribed dose is 400 mg.
Step 2: Calculate the Volume (in mL) Needed for the Dose
We know that 5 mL of the syrup contains 100 mg of medication. We need to find out how many mL are needed for 400 mg.
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To find out how many groups of 100 mg are in 400 mg, we divide:
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400÷100=4
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This means we need 4 times the volume of syrup that contains 100 mg.
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The volume for 100 mg is 5 mL. So, we multiply 4 by 5 mL.
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4×5mL=20mL
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The total volume needed per dose is 20 mL.
Step 3: Convert the Volume to Teaspoons
The measuring spoon is in teaspoons (tsp). We need to convert 20 mL to teaspoons.
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There are 5 mL in 1 teaspoon.
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To find out how many teaspoons are in 20 mL, we divide 20 by 5.
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20÷5=4
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The dose is 4 teaspoons.
The nurse will instruct the client to take 4 teaspoons.
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