Question

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside? A. A tracheotomy set B. A padded tongue blade C. An endotracheal tube D. An airway

Short answer

Answer: A tracheotomy set

Step-by-step solution

Understand the implications of a thyroidectomy

A thyroidectomy is a surgical procedure in which a portion or the entire thyroid gland is removed. This procedure can lead to complications related to airway management, as the thyroid gland is located in the neck near the trachea and larynx.

Evaluate Option A (A tracheotomy set)

A tracheotomy set is a medical equipment used to perform a tracheotomy, which involves creating an opening in the trachea to establish an airway. This can be an important lifesaving procedure in case of airway obstruction due to postoperative complications. Therefore, this seems like a relevant option for a thyroidectomy patient.

Evaluate Option B (A padded tongue blade)

A padded tongue blade is a device used to depress the tongue for examination of the oral cavity or to prevent tongue biting during a seizure. This item is not directly relevant to the complications and needs of a thyroidectomy patient.

Evaluate Option C (An endotracheal tube)

An endotracheal tube is a flexible plastic tube that is placed through the mouth or nose into the trachea to help a patient breathe. This might be useful during the surgery, but it is generally removed before the patient regains consciousness. Thus, it would not be necessary to keep at the patient's bedside after the surgery.

Evaluate Option D (An airway)

An airway, also known as an oropharyngeal airway, is a curved plastic tube used to maintain an open airway during resuscitation or anesthesia. These are generally used during surgery or cardiopulmonary arrest situations and are not specifically related to postoperative care of clients who had a thyroidectomy.

Compare the options and choose the best one

Considering the potential complications of a thyroidectomy, having a tracheotomy set at the bedside is the most relevant and potentially lifesaving option, as it can be used in case of airway obstruction. The other options do not directly address the specific needs and potential complications of a client who has recently had a thyroidectomy. Therefore, the correct answer is: A. A tracheotomy set