Which of the following statement should be included by the nurse during preoperative teaching for a female client who will undergo subtotal thyroidectomy?
A. The head of your bed must remain flat for 24 hours after surgery. B. You should avoid deep breathing and coughing after surgery. C. Â€You wonâ€™t be able to swallow for the first day or two. D. Â€You must avoid hyperextending your neck after surgery.
The answer to this is D. There is a need to avoid hyperextending the neck of the patient especially right after surgery. There are some people who do not realize that there are some things that have changed especially right after surgery.
They may be able to control and extend their neck again once their neck heals but after the surgery, hyperextending might cause some complications. If the patient is a bit uncomfortable, the head of the bed may be elevated. The patient is also required to do deep breathing as this can be effective in preventing the onset of pneumonia. This is not going to have any effect on how the person swallows.
Â€śYou must avoid hyperextending your neck after surgery.â€ť
To prevent undue pressure on the surgical incision after subtotal thyroidectomy, the nurse should advise the client to avoid hyperextending the neck. The client may elevate the head of the bed as desired and should perform deep breathing and coughing to help prevent pneumonia. Subtotal thyroidectomy doesnt affect swallowing.