Question

Please write nursing care plan for pt s/p thyroidectomy.
Write 2 nursing goals with 2 actions for each goals.

Answer 1

NURSING DIAGNOSIS

1.Impaired swallowing related to surgery done

2. Ineffective breathing pattern related to thyroidectomy.

Assessment	Nursing Daignosis	Expected Outcome	Interventions	Rationale	Evaluation
1) Patient complainted pain and difficulty during swallowing * Decreased intake of food * Lethargic	Impaired swallowing related to surgery done	She regains normal intake of food as evidenced proper diet followed by surgery	*Encourage the patient to take small liquid and soft solid diet * Avoid hot and spicy foods post operatively	* Enable proper intake and helps to reduce the difficulty during food intake * To avoid complications at surgical areas and post operatively to patient	She could have normal dietary intake as evidenced by following proper post - operative instructions
2) Complaints of breathing difficulties * Using abdominal muscles to breath	Ineffective breathing pattern related to thyroidectomy	She maintain normal breathing pattern as evidenced by regular exercises and follow instructions	*Assess the respiratory rate and oxygen saturation * Elevate the head end of the patient * Encourage to do deep breathing exercises	* Helps identify the breathing pattern * To enhance lung expansion and avoid airway constriction * Helps to improve breathing pattern	Patient maintenaned normal breathing pattern as evidenced by following the instructions