Difficulty: Medium
Average Score: 75%
Simulated
A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?
Correct answer
B,D
Rationale
The correct answers are B and D. Option B, instructing the client to deep breathe every 4 hours, is important post-thyroidectomy to prevent respiratory complications. Option D, checking the client's voice every 2 hours, is crucial to monitor for potential vocal cord damage, a complication of thyroidectomy. Option A (hyperextending the client's neck) is incorrect as it can strain the incision site. Option C (placing the head of the client's bed flat) is incorrect as it can increase swelling and discomfort. Option E, F, and G are not provided.