A nurse is caring for a client who is eight hr. postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
High Fowler's with neck in a neutral position
Semi-Fowler's with neck extended
High Fowler's with neck extended
Semi-Fowler's with neck in a neutral position
The Correct Answer is D
A. High Fowler's with neck in a neutral position — While a neutral neck position is correct to reduce tension on the suture line, high Fowler's may cause discomfort or strain after surgery.
B. Semi-Fowler's with neck extended — Neck extension is contraindicated as it can put strain on the surgical site and compromise healing.
C. High Fowler's with neck extended — Both the high Fowler’s position and neck extension are inappropriate postoperatively as they can increase tension on the incision and risk complications.
D. Semi-Fowler's with neck in a neutral position — This position reduces swelling and pressure on the neck area while minimizing tension on the surgical site, promoting healing and preventing complications such as hemorrhage or airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. White cell count of 15,000/mm³ (range 4,500–11,000), urine output at 40 mL/hr, no sputum — An elevated WBC count indicates ongoing infection. While urine output is normal, the high WBC count suggests the pneumonia is not yet resolving.
B. Oral temperature of 101°F (38.3°C), increased chest pain with non-productive cough — Fever and increased chest pain are signs of active infection and inflammation, indicating the patient is not yet responding well to treatment.
C. Respirations 18 with no complaints of dyspnea, a small amount of white sputum — This indicates clinical improvement. The respiratory rate is normal, there's no shortness of breath, and sputum production is decreasing and less purulent.
D. Productive cough with thick green sputum, states feeling "tired" — Green sputum suggests ongoing infection, and fatigue is a common symptom during acute illness, indicating incomplete recovery.
Correct Answer is A
Explanation
A. CD4 cell count 90 — A CD4 count below 200 cells/mm³ is one of the defining criteria for AIDS. A count of 90 indicates significant immunosuppression and progression from HIV to AIDS.
B. Swollen lymph nodes — This is a common symptom in various stages of HIV but is not specific to the diagnosis of AIDS.
C. Skin is dry — Dry skin can be seen in many conditions and is not a specific indicator of AIDS.
D. A weight gain of 10 pounds — Weight gain typically indicates nutritional improvement or stability, not progression to AIDS.
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