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Chapter 21: Problem 63

The client returns from surgery following a thyroidectomy. Which action by the nurse indicates understanding of the needs of the client that has a thyroidectomy? A. The nurse checks the urinary output hourly. B. The nurse places a tracheostomy set at the bedside. C. The nurse offers pain medication every hour. D. The nurse checks the abdominal dressing.

Short Answer

Expert verified
Answer: Placing a tracheostomy set at the bedside.

Step by step solution

01

Understanding Thyroidectomy.

A thyroidectomy is a surgical procedure in which all or part of the thyroid gland is removed. The thyroid gland produces hormones that regulate metabolism, and its removal can impact the patient's metabolic functions. Postoperative care is vital to ensure a smooth recovery and to prevent potential complications.
02

Analyzing Option A.

Checking the urinary output hourly: While urinary output can indicate the patient's overall health and the efficacy of IV fluid, it is not the primary concern for a patient who has undergone a thyroidectomy.
03

Analyzing Option B.

Placing a tracheostomy set at the bedside: Since the thyroid gland is located near the trachea, swelling and complications after a thyroidectomy may lead to breathing difficulties. Having a tracheostomy set at the bedside is a precautionary measure and critical to address a potential airway obstruction. This action is essential for patients recovering from thyroidectomy.
04

Analyzing Option C.

Offering pain medication every hour: While pain management is crucial in postoperative care, offering pain medication every hour might not be necessary and could lead to overmedication. Pain management should be personalized and provided as needed rather than on a strict hourly schedule.
05

Analyzing Option D.

Checking the abdominal dressing: As a thyroidectomy is done on the neck region, there would be no abdominal dressing to check. This option is irrelevant to the patient's needs who had a thyroidectomy.
06

Arriving at the Conclusion.

Based on the analysis, option B (placing a tracheostomy set at the bedside) is the most relevant, appropriate, and essential action for a patient who has undergone a thyroidectomy. This action indicates the nurse's understanding of the patient's needs and possible complications following thyroidectomy.

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