A client with thyroid cancer is returning to the unit following a thyroidectomy. The nurse should plan which priority intervention for this client?

Question

1. Providing good skin care
2. Maintaining the airway
3. Monitoring urine output
4. Monitoring for peripheral edema

Answer 1

Answer: 2

1. Good skin care is an important aspect of care, but not the priority.
2. The thyroid is in the neck. Response to surgery will be edema in the neck and/or hemorrhage, both of which would threaten the client's airway. Maintaining the airway is the top priority postoperatively.
3. Urine output is important but not the priority.
4. The nurse monitors for edema around the airway, not peripherally.