Examkin

Soru

Zorluk: KolayBasic Care and Comfort

During rounds, a practical nurse evaluates the comfort of a client who underwent a thyroidectomy earlier in the shift. Which position should the nurse ensure the client maintains to reduce swelling and support the incision?

  1. Semi-Fowler's position with pillows supporting the head and neckCevap
  2. B
    Supine position with the neck slightly hyperextended
  3. C
    Right lateral side-lying position with a pillow between the knees
  4. D
    Prone position with a small roll under the chest

Cevap

Semi-Fowler's position with pillows supporting the head and neck
Following a thyroidectomy, placing the client in a semi-Fowler's position (head elevated 30 to 45 degrees) promotes venous drainage, thereby reducing edema around the airway and surgical site. Supporting the head and neck with pillows maintains neutral alignment and prevents tension on the suture line.

Adım Adım Çözüm

1
Analyze the specific surgical procedure
The client had a thyroidectomy, which involves an incision on the anterior neck.
Understanding the surgical site determines which positions might cause tension or pressure.
2
Identify the primary postoperative risks for this procedure
The main risks include airway compromise from edema (swelling) and tension on the suture line.
Proper positioning must directly address and minimize these specific risks.
3
Select the position that best mitigates the identified risks
Semi-Fowler's position uses gravity to reduce swelling, and pillows keep the head neutral.
This alignment prevents both hyperextension and flexion, protecting the airway and the incision.

Anahtar Kavram

Postoperative Positioning for Neck Surgery
Tahmini Süre:45s
Bu soruyu puanla

Konular

Basic Care and Comfort

Bu konudan daha fazla soru