For a client who has a subtotal thyroidectomy, which nursing intervention is essential?

a. monitoring potassium and sodium levels
b. encouraging voice rest for 48 hours
c. placing the client in reverse Trendelenburg position
d. placing a tracheotomy tray at the client's bedside


C
Nursing interventions for clients having subtotal thyroidectomy include keeping the bed in semi-Fowler's position with head and shoulders supported by pillows. Keep suctioning equipment at bedside, monitor vital signs, and assess dressing, sides, and back of neck for drainage or bleeding.

Nursing

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While assessing the patient at the beginning of the shift, the nurse inspects a surgical dressing covering the operative site after the patients' cervical diskectomy

The nurse notes that the drainage is 75% saturated with serosanguineous discharge. What is the nurse's most appropriate action? A) Page the physician and report this sign of infection. B) Reinforce the dressing and reassess in 1 to 2 hours. C) Reposition the patient to prevent further hemorrhage. D) Inform the surgeon of the possibility of a dural leak.

Nursing

The nurse reviews a prenatal lab report. She notes that the enzyme-linked immunosorbent assay (ELISA) test is positive. The nurse concludes

a. the client probably has AIDS and treatment should be begun immediately b. the result is a false positive and should be repeated c. a Western blot test should be ordered d. the client is positive for HIV

Nursing

Concerning basic care of the breastfeeding mother, nurses should advise that the mother:

1. will need an extra 1000 calories a day to maintain energy and produce milk. 2. can go back to prepregnancy consumption patterns of any drinks as long as she gets enough calcium. 3. should avoid trying to lose large amounts of weight. 4. must avoid exercising because it is too fatiguing.

Nursing

A nurse is applying a nursing model in the care of a client. Which is most similar to a nursing model?

A) Nursing concept B) Nursing theory C) Nursing construct D) Proposition

Nursing