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    Mental Health Proctored Exam
    Select All That Apply

    A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply)

    Explanation & Rationale

    Choice A rationale: Oxygen delivery equipment is essential post-thyroidectomy due to the risk of respiratory distress. Surgical manipulation near the trachea can cause swelling, compromising the airway. Additionally, laryngeal nerve damage is a potential complication, which can lead to vocal cord paralysis and airway obstruction. Having oxygen readily available ensures immediate intervention for hypoxemia. Choice B rationale: Humidified air is not a primary, immediately essential piece of emergency equipment for a client from the PACU post-thyroidectomy. While it can be used to soothe an irritated airway and reduce coughing, it is not a life-saving intervention for acute respiratory distress. The most critical concerns are airway obstruction and bleeding. Choice C rationale: Suction equipment is vital to manage potential airway obstruction from secretions or blood. Post-thyroidectomy, there is a risk of hemorrhage and edema, which can lead to pooling of blood or fluid in the pharyngeal area. A functional suction setup allows for the immediate clearance of the airway to maintain patency. Choice D rationale: A tracheostomy tray is crucial emergency equipment because of the high risk of airway compromise. Postoperative edema, hematoma formation, or laryngeal nerve damage can cause acute respiratory distress. If intubation is not possible, an emergency tracheostomy may be required to secure the airway and prevent suffocation. Choice E rationale: A padded tongue blade is not a recommended piece of equipment for a client post-thyroidectomy. The use of a tongue blade is associated with a risk of damaging the oral tissues and is ineffective for managing the specific airway complications, such as edema or hematoma, that are most likely to occur after this surgery.

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