HomeNCLEX RN Exam Prep 2026 TestQuestion 3 of 10
NCLEX RNQuestion 3 / 10

Which should the nurse anticipate including in the care plan for a client the first 24 hours post thyroidectomy?

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✓ Correct answer: C. Suction oral secretions as necessary. Oral secretions may need to be suctioned following a thyroidectomy.<br/><br/>A pillow is used to support the head and neck after surgery, and the client should avoid neck extension because it may disrupt the surgical site.<br/><br/>The client may experience a moderate amount of serosanguinous drainage in the first 24 hours.<br/><br/>The client will place both hands behind their neck before coughing to support the neck and reduce tension on the suture line.<br/><br/>If the dressing around the neck becomes too tight (choice C), this may be an indication of a complication that could impede the airway.<br/><br/>The client should immediately be assessed for hemorrhage or any respiratory compromise and the health care provider notified immediately.<br/><br/>Emergency tracheostomy equipment (not thoracentesis equipment as choice D indicates) should be kept immediately available.

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