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
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. The nurse is aware if positive the client likely has
dropdown
related to
dropdown
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:

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.
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.
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.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Baked fish is rich in iodine, which supports thyroid function and can be beneficial for clients with hypothyroidism. Iodine is necessary for thyroid hormone production.
B. Tuna salad may contain iodine, but it is not as reliable a source as baked fish and may also contain added fats.
C. Bran flakes are high in fiber, which can interfere with the absorption of thyroid medications.
D. Cantaloupe, while nutritious, does not provide significant levels of iodine or nutrients that directly support thyroid function.

A. To lower intracranial pressure by increasing urinary output. B. To reduce cerebral blood flow. C. To prevent the formation of cerebral edema. D. To decrease brain oxygen consumption.

Correct Answer is A

Explanation

A. The primary purpose of administering an osmotic diuretic, such as mannitol, is to lower ICP by promoting diuresis, which results in increased urinary output and decreases fluid volume in the brain.
B. Osmotic diuretics do not specifically reduce cerebral blood flow; rather, they work by reducing fluid volume and thus intracranial pressure.
C. While osmotic diuretics can help manage edema, their primary role is not solely to prevent the formation of cerebral edema but to actively reduce existing pressure.
D. Osmotic diuretics do not directly decrease brain oxygen consumption; their main function is to create an osmotic gradient that pulls fluid from the brain to reduce ICP.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client diagnosed with hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to the diet?

Correct Answer is A

Explanation

A nurse is preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?

Correct Answer is A

Explanation

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