A client with thyroid cancer is returning to the unit following a ...

[RYAN BANYAN]

A client with thyroid cancer is returning to the unit following a thyroidectomy. The nurse should plan which priority intervention for this client?
 
  1. Providing good skin care
  2. Maintaining the airway
  3. Monitoring urine output
  4. Monitoring for peripheral edema

Question 2

A client is in the ICU recovering from a bilateral adrenalectomy. What should the nurse monitor as a priority for this client?
 
  1. Swelling in the neck
  2. Hypotension, rapid pulse, weakness, and confusion
  3. Weight gain
  4. Depression

[Shshxj]

Answer to Question 1

Answer: 2

1. Good skin care is an important aspect of care, but not the priority.
2. The thyroid is in the neck. Response to surgery will be edema in the neck and/or hemorrhage, both of which would threaten the client's airway. Maintaining the airway is the top priority postoperatively.
3. Urine output is important but not the priority.
4. The nurse monitors for edema around the airway, not peripherally.

Answer to Question 2

Answer: 2

1. The adrenal glands are located on the kidney so neck swelling is not likely.
2. The client is monitored for Addison's crisis, which is a life-threatening occurrence and is characterized by hypotension, rapid pulse, weakness, and confusion.
3. Weight gain is seen in clients with Cushing's disease.
4. Depression could occur later on in the recovery process, but it is seen more often in those with Cushing's disease.