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Zorluk: OrtaBasic Care and Comfort

A client is admitted to the surgical nursing unit immediately after a partial thyroidectomy. A practical nurse is contributing to the client's immediate postoperative care plan. Which of the following positioning and comfort measures should the nurse implement? Select all that apply.

  1. Elevate the head of the bed to 30 to 45 degrees.Cevap
  2. Support the client's head and neck with pillows to maintain neutral alignment.Cevap
  3. C
    Position the client strictly flat in a supine position for the first 12 hours.
  4. Apply an ice collar to the anterior neck as prescribed.Cevap
  5. E
    Encourage the client to turn their head from side to side frequently to prevent stiffness.

Cevap

The nurse should elevate the head of the bed to 30 to 45 degrees, support the head and neck with pillows to maintain neutral alignment, and apply an ice collar as prescribed.
Following neck surgery such as a partial thyroidectomy, basic care prioritizes protecting the airway and the surgical site. A semi-Fowler's position (head elevated 30 to 45 degrees) uses gravity to promote venous return and decrease edema, which protects the airway. Using pillows to support the head and maintain neutral alignment prevents hyperextension, reducing tension on the sutures. Finally, applying an ice collar is an effective comfort measure that induces vasoconstriction, limiting both swelling and bleeding.

Adım Adım Çözüm

1
Identify the surgical procedure and the critical postoperative risks associated with it.
The client underwent a partial thyroidectomy. The primary immediate risks include airway obstruction from neck edema, bleeding, and tension on the anterior neck incision.
Recognizing the anatomical location and physiological risks dictates the necessary basic care and comfort interventions.
2
Select interventions that mitigate postoperative risks and promote client comfort.
Elevating the head of the bed and applying an ice collar reduce edema. Supporting the head and neck prevents strain on the suture line.
These specific measures align directly with the physiological requirements for safe recovery following neck surgery.

Anahtar Kavram

Postoperative Positioning and Comfort in Neck Surgery
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Konular

Basic Care and Comfort

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