A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?
Constipation
Negative Trousseau’s sign
BP of 180/88
Numbness and tingling of the extremities
The Correct Answer is D
A. Constipation: Hypocalcemia causes diarrhea, while hypercalcemia causes constipation.
B. Negative Trousseau’s sign: A positive Trousseau’s sign (carpal spasm during BP cuff inflation) is expected with hypocalcemia.
C. BP of 180/88: Severe hypocalcemia may cause hypotension, not hypertension.
D. Numbness and tingling of the extremities: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diarrhea: Diarrhea is not a common side effect of cooling therapy and does not indicate a need to stop treatment.
B. Shivering: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.
C. Hypotension: While cooling can cause vasodilation and lower blood pressure, mild hypotension does not immediately necessitate stopping treatment.
D. Vomiting: Vomiting may be due to fever-related illness but is not a direct indicator that cooling should be stopped.
Correct Answer is ["1370"]
Explanation
To calculate total output, we sum all recorded outputs:
- Urine output:
- 400 mL + 350 mL = 750 mL
- Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
- Nasogastric tube drainage: 575 mL
- Jackson-Pratt drain output: 25 mL
Total Output = 750 + 20 + 575 + 25 = 1,370 mL
Correct Answer: 1,370 mL
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