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A nurse is assessing a client who is post op following a thyroidectomy

Exhibits

Complete the sentence utilizing the provided options.

The nurse is assessing the client post-op and notes client is complaining of tingling of the finger-tips and assesses for

. The nurse is aware if positive the client likely has related to  during surgery
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A","dropdown-group-3":"E"}

The nurse is assessing the client post-op and notes the client is complaining of tingling of the fingertips and assesses for Target 1: Chvostek sign; the nurse is aware if positive, the client likely has Target 2: hypocalcemia related to Target 3: disruption or removal of the parathyroid during surgery.

Rationale:

  1. Target 1: Chvostek sign - This is a clinical sign used to assess for neuromuscular excitability due to hypocalcemia. A positive Chvostek sign, which involves twitching of the facial muscles when tapping the facial nerve, indicates low calcium levels.
  2. Target 2: Hypocalcemia - The tingling sensation in the fingertips can be a symptom of hypocalcemia, which is a common complication following thyroidectomy due to potential damage or removal of the parathyroid glands.
  3. Target 3: Disruption or removal of the parathyroid during surgery - Parathyroid glands regulate calcium levels in the body. If these glands are disrupted or removed during thyroid surgery, it can lead to hypocalcemia.


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Related Questions

Correct Answer is D

Explanation

A. While noting the time of day is important for documentation, it does not address the immediate concern of elevated intraocular pressure (IOP).
B. Applying normal saline drops is not indicated in the immediate management of elevated IOP in glaucoma; it does not directly affect IOP levels.
C. Instructing the client to sleep with the head of the bed flat is not advisable, as elevated head positions may help decrease IOP.
D. An IOP of 23 mm Hg is above the normal range (10-21 mm Hg) and indicates potential glaucoma. Therefore, contacting the primary health care provider for further evaluation and treatment is the most appropriate initial action.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A","dropdown-group-3":"E"}

Explanation

The nurse is assessing the client post-op and notes the client is complaining of tingling of the fingertips and assesses for Target 1: Chvostek sign; the nurse is aware if positive, the client likely has Target 2: hypocalcemia related to Target 3: disruption or removal of the parathyroid during surgery.

Rationale:

  1. Target 1: Chvostek sign - This is a clinical sign used to assess for neuromuscular excitability due to hypocalcemia. A positive Chvostek sign, which involves twitching of the facial muscles when tapping the facial nerve, indicates low calcium levels.
  2. Target 2: Hypocalcemia - The tingling sensation in the fingertips can be a symptom of hypocalcemia, which is a common complication following thyroidectomy due to potential damage or removal of the parathyroid glands.
  3. Target 3: Disruption or removal of the parathyroid during surgery - Parathyroid glands regulate calcium levels in the body. If these glands are disrupted or removed during thyroid surgery, it can lead to hypocalcemia.

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