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Question

Difficulty: EasyBasic Care and Comfort

A practical nurse is caring for a client who has just returned to the surgical unit following a total thyroidectomy. To promote comfort and prevent complications, which of the following positions should the nurse assist the client into?

  1. Semi-Fowler's position with pillows supporting the head and neckAnswer
  2. B
    Supine position with the head of the bed completely flat
  3. C
    Left lateral position with the neck slightly extended
  4. D
    Trendelenburg position with a pillow under the shoulders

Answer

The correct answer is the semi-Fowler's position with pillows supporting the head and neck.
Placing the client in a semi-Fowler's position uses gravity to help reduce swelling and edema in the neck area, which is critical for protecting the airway after a thyroidectomy. Supporting the head and neck with pillows prevents hyperextension, reducing tension on the surgical incision and promoting comfort.

Step-by-Step Solution

1
Analyze the surgical procedure and potential physiological complications.
A thyroidectomy involves an incision in the neck. Post-operative tissue edema or bleeding in this area can quickly compromise the client's airway.
Airway patency is the highest priority following head and neck surgery.
2
Identify the effects of different bed positions on the neck.
Elevating the head of the bed decreases fluid accumulation (edema) in the neck. Supporting the head reduces tension on the surgical sutures.
Proper positioning uses gravity to minimize swelling and maintains anatomical alignment to promote wound healing.
3
Select the safest and most comfortable position for the client.
The semi-Fowler's position with dedicated head and neck support is the most appropriate choice.
This directly prevents airway compromise and incision rupture.

Key Concept

Post-operative positioning for airway protection and comfort
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Topics

Basic Care and Comfort

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