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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: B. The nurse places a tracheostomy set at the bedside.

Step by step solution

01

Option A: The nurse checks the urinary output hourly.

Checking the patient's urinary output hourly is crucial in various surgical procedures, especially when there is a concern about fluid balance or kidney function. However, this is not specific to patients who have had thyroidectomy and does not indicate the nurse's understanding of the needs of such patients.
02

Option B: The nurse places a tracheostomy set at the bedside.

Following a thyroidectomy, there is a potential risk of airway compromise due to postoperative swelling or bleeding, which may lead to respiratory distress. Keeping a tracheostomy set at the bedside ensures that emergency equipment is immediately available if the patient develops difficulty breathing. This action indicates understanding of the specific needs of a patient post-thyroidectomy.
03

Option C: The nurse offers pain medication every hour.

Although adequate pain management is essential for all postoperative patients, offering pain medication every hour is not particular to the care of a thyroidectomy patient. This action does not indicate an understanding of the specific needs for a patient who has had a thyroidectomy.
04

Option D: The nurse checks the abdominal dressing.

Since a thyroidectomy is a surgical procedure involving the neck and not the abdomen, checking an abdominal dressing is not relevant to the post-operative care of a patient who has had a thyroidectomy. This action does not indicate understanding of the specific needs of such a patient. Based on the analysis of each option, the correct answer is: B. The nurse places a tracheostomy set at the bedside.

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