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THYROIDECTOMY (ACUTE PAIN (NURSING INTERVENTIONS (Assess verbal and…
THYROIDECTOMY
ACUTE PAIN
NURSING INTERVENTIONS
Assess verbal and nonverbal reports of pain, noting location, intensity (0–10 scale), and duration.
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Maintain head and neck in neutral position and support during position changes. Instruct patient to use hands to support neck during movement and to avoid hyperextension of neck.
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Encourage patient to use relaxation techniques: guided imagery, soft music, progressive relaxation.
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RISK FOR INJURY
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NURSING INTERVENTIONS
Monitor vital signs noting elevating temperature, tachycardia, arrhythmias, respiratory distress, cyanosis.
Keep side rails raised and padded, bed in low position, and airway at bedside. Avoid use of restraints.
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. Observe for neuromuscular irritability: twitching, numbness, paresthesias, seizure activity.
DEFICIENT KNOWLEDGE
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NURSING INTERVENTIONS
Discuss need for well-balanced, nutritious diet and, when appropriate, inclusion of iodized salt.
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TYPES OF THYROIDECTOMY
TOTAL THYROIDECTOMY
The gland is removed completely. Usually done in the case of malignancy. Thyroid replacement therapy is necessary for life
SUB-TOTAL THYROIDECTOMY
Up to five-sixths of the gland is removed when antithyroid drugs do not correct hyperthyroidism or RAI therapy is contraindicated
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