How will the nurse care for the patient following a thyroidectomy?

How will the nurse care for the patient following a thyroidectomy?
How will the nurse care of the patient following a adrenalectomy?
Differentiate between myxedema coma and thyroid storm. Possible nursing care for each

Expert Solution

How will the nurse care for the patient following a thyroidectomy?

Place an ice bag on the neck wound because this will help to reduce swelling and pain.
Frequently check wound dressing and skin on back, neck, and shoulders for any bleeding from the wound.
Elevate the head of the bed 25 to 35 degrees. This helps to keep the respiratory tract unobstructed and the sputum to be expelled.
Provide neck massage evey 1-2 hours for relaxation.
Assist the patient and support the neck while changing the position to prevent pain due to neck activity.
Assess the pain using the pain scale and administer medications if the pain is intolerable.
Provide vapour inhalation therapy if the patient is unable to cough.
Instruct the patient that speak as little as possible for at least one weak.
Once the sutures are removed clean the area and apply surgical tape across the suture line.
Advise the patient to take liquid or soft diets at least in the first few days.
Advise the patient to take protein rich diet once the patient starts to take regular diet because it will augment wound healing.

How will the nurse care of the patient following a adrenalectomy?

Provide psychological support to the patient.
Take and record vital signs.
Measure intake and output
Monitor electrolytes on frequent schedule especially during the first 48 hours after surgery.
Administer IV fluids if necessary.
Assess for wound drainage.
Clean the wound and change wound dressing regularly.
Always use aseptic techniques to decrease the risk of infection.

Differentiate between myxedema coma and thyroid storm. Possible nursing care for each

Myxedema coma

It is a life-threatening condition in which patients with underlying thyroid dysfunction exhibit exaggerated manifestations of hypothyroidism.

There are no unequivocal criteria for a diagnosis of myxedema coma. However, clinical researchers have identified certain findings suggestive of the diagnosis. It includes altered mental status that may include coma, hypothermia, bradycardia, increased TSH level, decreased T4 level, and an illness that precipitated myxedema coma.

Nursing management includes

Continuously monitor ECG for dysrhythmias or profound bradycardia that can adversely affect cardiac output.
Continuously monitor pulmonary artery pressure, central venous pressure and blood pressure.
Monitor fluid volume status; measure hourly urine output and determine fluid balance every 8 hours
Assess cardiovascular status
Review thyroid studies as available.

Thyroid storm

It is a life-threatening health condition that is associated with untreated or undertreated hyperthyroidism.

During thyroid storm, an individual's heart rate, blood pressure, and body temperature can soar to dangerously high levels. Without prompt, aggressive treatment thyroid storm is often fatal.

Nightingale answered 2 years ago

You are the nurse providing care for a patient who underwent thyroidectomy two days ago.

You are the nurse providing care for a patient who underwent thyroidectomy two days ago. To Prevent complications with this surgery, which laboratory value requires close monitoring by a nurse? Calcium level Sodium level Potassium level Lactate level Maria is a 45-year-old Hispanic female who presented to the emergency Department with epigastric pain she states that the pain is worse after eating Maria has a history of obesity and diabetes Maria was diagnosed with gastroesophageal reflux disease which of...

How will the nurse care of the patient following a adrenalectomy? What factors can lead to...

How will the nurse care of the patient following a adrenalectomy? What factors can lead to the development of a goiter? What is the purpose of the parathyroids? What would alert the nurse of parathyroid gland compromise?

describe the role of a nurse in the improvement of patient care

The nurse is assisting the Registered Nurse (RN) in providing care for a patient who is...

The nurse is assisting the Registered Nurse (RN) in providing care for a patient who is recovering from a stroke with residual effects. Which assigned intervention by the RN will the nurse question? A. Observe the patient performing active range of motion (ROM) on the affected side. B. Assist with maintaining correct body alignment for comfort. C. Follow the physical therapist’s (PT’s) recommendations for being up in a bedside chair. D. Support affected extremities with pillows to prevent dislocation

25-year-old female client is being admitted to the postanesthesia care unit (PACU) following a thyroidectomy for...

25-year-old female client is being admitted to the postanesthesia care unit (PACU) following a thyroidectomy for hyperthyroidism. The client had undergone three months of preoperative treatment with antithyroid medications and iodine preparations to establish euthyroid status prior to her surgery. At the client's bedside the nurse has set up a tracheostomy set, endotracheal tube, laryngoscope, and suction equipment. There are ampules of calcium gluconate on hand. The nurse places the client in a semi-Fowler's position, and is supporting her head...

The nurse is formulating the care plan for a patient on IV heparin therapy. Describe the...

The nurse is formulating the care plan for a patient on IV heparin therapy. Describe the nursing considerations that should be included for a patient on an anticoagulant.

19. It is important for the nurse providing care for a patient with sickle cell crisis...

19. It is important for the nurse providing care for a patient with sickle cell crisis to intervene quickly. What is a sickle cell crisis? What are the interventions for patient in sickle cell crisis? Why?

1. Enumerate types of care to the cancer patient. What is the Nurse Role for this...

1. Enumerate types of care to the cancer patient. What is the Nurse Role for this patient? 2. Types of medication given to Patient with acute pain and with chronic pain. 3. List down the Nurse Role in giving medication.

As a Registered Nurse, you will be asked eventually to care for a patient who makes...

As a Registered Nurse, you will be asked eventually to care for a patient who makes you uncomfortable or fearful (Ex. a homeless person with lice, a prisoner, a person with a highly infectious disease). How will you deal with this situation? Is it okay as a nurse to refuse treatment to someone as you choose? What does the ANA Code of Ethics say? What resources do you have to help you make these decisions?

As a nurse explain the importance of these 1)Therapeutic Nurse-Patient Relationship 2)Professional Boundaries 3)Patient-Centered Care 4)Developing...

As a nurse explain the importance of these 1)Therapeutic Nurse-Patient Relationship 2)Professional Boundaries 3)Patient-Centered Care 4)Developing Effective Communication Skills 5)Avoiding Common Causes of Communication Breakdown

Question