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A nurse in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?

Dry cough

Temperature 37.2° C (99° F)

Serosanguineous drainage

Dyspnea

Answer and Explanation

The Correct Answer is D

A. A dry cough is not typically a significant concern post-thyroidectomy.

B. A temperature of 37.2°C (99°F) is within normal range and not concerning.

C. Serosanguineous drainage is common postoperatively and not usually a concern.

D. Dyspnea is a critical finding that can indicate airway obstruction or other complications such as hematoma formation, which requires immediate intervention.

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Correct Answer is C

Explanation

A. Blood should only be obtained from the blood bank when everything is ready for the transfusion.

B. The tubing should be primed with normal saline, not lactated Ringer's.

C. Reviewing the medical record for type and crossmatch information ensures compatibility and prevents transfusion reactions.

D. Identifying the client should be done using two identifiers, but not room number as per Joint Commission standards (typically full name and medical record number or date of birth).

A. "I will increase my intake of canned vegetables." B. "I will limit my portions of meat to 8 ounces." C. "I will drink whole milk with my cereal." D. "I will use canola oil when making salad dressing.”

Correct Answer is D

Explanation

A. Canned vegetables often contain high levels of sodium, which can exacerbate cardiovascular issues.

B. Limiting portions of meat is good practice, but 8 ounces may still be too much; recommendations are typically 3-5 ounces per serving.

C. Whole milk is high in saturated fats, which should be limited in a cardiovascular diet.

D. Using canola oil is a good choice because it contains healthy fats that can improve heart health and is a suitable option for salad dressing.

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A nurse in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

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