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    Ati nurs 113 pharmacology proctored exam

    A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?

    Explanation & Rationale

    A. Check for Asterixis: Asterixis, also known as flapping tremor, is typically associated with hepatic encephalopathy or liver failure, not thyroidectomy. Therefore, it is not an immediate concern for a client following a subtotal thyroidectomy. B. Place the client in a side-lying position: There is no specific need to place the patient in a side-lying position post-thyroidectomy. The semi-Fowler's position is more commonly used to promote breathing and reduce pressure on the neck. C. Check for bleeding at the back of the client's neck: Bleeding at the back of the neck or around the incision site is a critical concern after a thyroidectomy, as it can lead to airway obstruction or hematoma formation. The nurse should frequently assess the surgical site for signs of bleeding and hematoma formation. D. Ensure that acetylcysteine IV is readily available: Acetylcysteine (Mucomyst) is typically used for acetaminophen toxicity or to treat mucous secretions, not for complications related to thyroidectomy.

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