CCRN Nursing Exam Prep - Adult Critical Care

Answer - D - Palpate the back of the neck and shoulders for evidence of bleeding. The danger of hemorrhage is greatest during the first 24 hours following thyroid surgery. The tendency is for blood to flow down at the sides and posteriorly if hemorrhage occurs in the area of the neck. Inspecting the dressings for signs of hemorrhage may not reveal bleeding (Choice A). Changing dressings immediately after surgery is not appropriate (Choice B). A drop in hemoglobin may be a clue to bleeding, but is not the best initial assessment action (Choice C).