A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?
Neck stiffness
Hoarseness
Moderate serosanguineous drainage
Muscle twitching
The Correct Answer is D
Muscle twitching can a feature of hypocalcemia which may eventually lead to tetany. It is therefore, necessary to report muscle twitching to avoid serious complications such as bronchospasm.
A. Neck stiffness is anticipated due to manipulation of neck muscles during surgery.
B. Hoarseness occurs due to injury of recurrent laryngeal nerve or manipulation of the vocal cords and surrounding structures during surgery.
C. Some drainage from the incision site is expected after surgery, including a total thyroidectomy
D. Muscle twitching may indicate neuromuscular irritability or electrolyte imbalances, which could be unrelated to the thyroidectomy surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","J"]
Explanation
The client is having typical signs and symptoms of acute coronary syndrome - pain radiating to the left arm, nausea, diaphoresis, shortness of breath and tachycardia
Her diet history - daily bacon and eggs increases her cardiovascular risk
Her cool skin and weak peripheral pulses is an indication of poor perfusion due to impaired myocardial contractility due to myocardial infarction.
Correct Answer is ["69"]
Explanation
Convert the weight from pounds to kilograms
190 lb * (1 kg / 2.2046 lb) = 86.183 kg (rounded to three decimal places)
The recommended dietary allowance (RDA) of protein:86.183 kg * 0.8 g/kg = 68.946 g/day
Rounding to the nearest whole number, the client should receive approximately 69 grams of protein daily.
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