A young adult client has had a tonsillectomy and is in the immediate postoperative period. To make the client comfortable, the nurse intervenes by
a) Removing the oral airway before the gag reflex has returned for client comfort
b) Placing the client prone with the head turned to the side
c) Maintaining a warm compress around the client's neck area
d) Sitting the client in the semi-Fowler's position
Answer: b) Placing the client prone with the head turned to the side
Explanation:
The most comfortable position for the client in the immediate postoperative period is prone, not semi-Fowler's. The client's head is turned to the side to allow drainage from the mouth. The oral airway is removed after the gag reflex has returned. An ice collar, not warm compress, is applied to the neck area. pg.549
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