What should the nurse include in provisions for the postoperative care of the patient who had a thyroidectomy? (Select all that apply.)
a. Assessing ability to speak by asking him or her to recite name and address every hour
b. Maintaining anatomic position of the head when moving a patient
c. Assisting a patient to hyperextend the head to assess for muscle damage
d. Doing voice check every 2 hours
e. Turning, coughing every hour
f.
Checking for bleeding at the sides and the back of the head
ANS: B, D, F
The nurse should hold the head in an anatomic position when moving the patient to prevent tension on the suture line, do a voice check every 2 to 4 hours by asking the patient to say "ah"; the patient is not turned nor is coughing recommended immediately after a thyroidectomy.
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