What should the nurse include in provisions for the postoperative ...

[sheilaspns]

What should the nurse include in provisions for the postoperative care of the patient who had a thyroidectomy? (Select all that apply.)
 
  a. Assessing ability to speak by asking him or her to recite name and address every hour
  b. Maintaining anatomic position of the head when moving a patient
  c. Assisting a patient to hyperextend the head to assess for muscle damage
  d. Doing voice check every 2 hours
  e. Turning, coughing every hour
  f.
  Checking for bleeding at the sides and the back of the head

Question 2

The adrenal cortex secretes glucocorticoids. The most important is cortisol. What is it involved in? (Select all that apply.)
 
  a. Glucose metabolism
  b. Releasing androgens and estrogens
  c. Providing extra reserve energy during stress
  d. Decreasing the level of potassium in the blood stream
  e. Increasing retention of sodium in the blood stream

[mjenn52]

Answer to Question 1

ANS: B, D, F
The nurse should hold the head in an anatomic position when moving the patient to prevent tension on the suture line, do a voice check every 2 to 4 hours by asking the patient to say ah; the patient is not turned nor is coughing recommended immediately after a thyroidectomy.

Answer to Question 2

ANS: A, C
Cortisol is involved in glucose metabolism and provides extra reserve energy in times of stress.