Nokea
The nurse is caring for a client who is scheduled to have a thyroidectomy and provides instructions to the client about the surgical procedure. Which statement by the client indicates an understanding of the nurse's instructions?
- A. I will definitely have to continue taking antithyroid medication after this surgery.
- B. I need to place my hands behind my neck when I have to cough or change positions.
- C. I need to turn my head and neck front, back, and side to side every hour for the first 12 hours after surgery.
- D. I will immediately report to the emergency room if I experience tingling of my toes, fingers, and lips after surgery.
Correct Answer: B
Rationale: One way of reducing incisional tension is to teach the client how to support the neck when coughing or being repositioned. The removal of the thyroid does not mean that the client will be taking antithyroid medications postoperatively. The client is taught that after thyroidectomy tension needs to be avoided on the suture line because hemorrhage may develop. Likewise, during the postoperative period, the client should avoid any unnecessary movement of the neck; that is why sandbags and pillows are frequently used to support the head and neck. If a client experiences tingling in the fingers, toes, and lips, it is probably a result of injury to the parathyroid gland during surgery, resulting in hypocalcemia. These signs and symptoms need to be reported immediately.
You may also like to solve these questions
The nurse is providing discharge instructions to the mother of an 8-year-old child who had a tonsillectomy. The mother tells the nurse that the child loves tacos and asks when the child can safely eat one. To prevent complications of the surgical procedure, what should be the appropriate response to the mother?
- A. In 1 week.
- B. In 3 weeks.
- C. Six days after surgery.
- D. When the primary health care provider says it is okay.
Correct Answer: B
Rationale: Rough or scratchy foods, as well as spicy foods, are to be avoided for 3 weeks after a tonsillectomy. Citrus juices that irritate the throat should be avoided for 10 days. Red liquids are avoided because they will give the appearance of blood if the child vomits. The mother is instructed to add full liquids on the second day and soft foods as the child tolerates them.
A community health nurse is preparing a lecture on lifestyle and risk factors for a college-age audience. The nurse understands that which causes of death are the most common among this age group?
- A. HIV, suicide, unintentional injuries
- B. suicide, cancer, unintentional injuries
- C. suicide, unintentional injuries, homicide
- D. homicide, unintentional injuries, heart disease
Correct Answer: C
Rationale: Unintentional injuries, suicide, and homicide are the top causes of death in college-age individuals.
The nurse is providing home care dietary instructions to a client who has been hospitalized for pancreatitis. Which food should the nurse instruct the client to avoid to prevent recurrence?
- A. Chili
- B. Bagels
- C. Lentil soup
- D. Watermelon
Correct Answer: A
Rationale: Pancreatitis involves inflammation of the pancreas, and spicy foods like chili can stimulate pancreatic secretions, potentially triggering a recurrence. The client should eat small, frequent meals that are high in protein, low in fat, and moderate to high in carbohydrates. Bagels, lentil soup, and watermelon are generally bland and acceptable.
A client is being discharged to home after prostatectomy for treatment of benign prostatic hyperplasia. Which point should the nurse plan to teach the client as part of the discharge teaching?
- A. Mowing the lawn is allowed after 1 week.
- B. Avoid lifting more than 50 pounds for 4 to 6 weeks after surgery.
- C. Drink at least 15 glasses of water a day to minimize clot formation.
- D. Notify the primary health care provider if fever, increased pain, or an inability to void occurs.
Correct Answer: D
Rationale: Notifying the primary health care provider about fever, increased pain, or inability to void is critical to detect complications like infection or urinary obstruction. Mowing the lawn is too strenuous too soon, lifting more than 20 pounds is prohibited, and 15 glasses of water daily is excessive; 6 to 8 glasses are sufficient.
The community health nurse teaches a group of females how to prevent pelvic inflammatory disease (PID). What instruction should the nurse include?
- A. To douche monthly
- B. To avoid unprotected intercourse
- C. To use only ultra-low dose oral contraceptive pills
- D. To consult with a gynecologist regarding the placement of an intrauterine device (IUD)
Correct Answer: B
Rationale: PID is an infection of the pelvis. The primary prevention of PID includes avoiding unprotected intercourse. Douching leads to a higher risk for PID. It is believed that high hormonal doses may decrease risk of PID, but ultra-low doses will not. The use of an IUD may also increase the risk for PID.