The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
Correct Answer: A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows.
Option A: Following a thyroidectomy, the client should be placed in semi-Fowler’s position to decrease swelling that would place pressure on the airway.
Options B, C, and D: These positions would increase the chances of post-operative complications that include bleeding, swelling, and airway obstruction.