A nurse is caring for a client who has returned to the floor after having a thyroidectomy for thyroid cancer. What laboratory finding may be an early indication of parathyroid gland injury or removal?
Hyponatremia
Hypophosphatemia
Hypocalcemia
Hypokalemia
The Correct Answer is C
A. Hyponatremia is not directly related to parathyroid function and is more commonly associated with conditions like SIADH.
B. Hypophosphatemia may be seen in refeeding syndrome or other metabolic disturbances, but not as a primary indicator of parathyroid injury.
C. Hypocalcemia is the hallmark laboratory finding following accidental removal or injury to the parathyroid glands during thyroidectomy, as parathyroid hormone (PTH) regulates calcium levels.
D. Hypokalemia is related to potassium imbalance and is not specific to parathyroid or calcium regulation.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Proteinuria and hyperkalemia are not commonly associated with pancreatic surgery.
B. Hemorrhage may be an acute post-op complication, but hypercalcemia is not typically related to pancreatic surgery.
C. Weight loss and hypoglycemia may occur, but they are often secondary to broader problems such as malabsorption or endocrine dysfunction.
D. Malabsorption can occur due to reduced pancreatic enzyme production after surgery, leading to nutrient deficiencies. Hyperglycemia is also common, as insulin production may be impaired if pancreatic tissue is removed, increasing the risk for diabetes mellitus.
Correct Answer is C
Explanation
A. Air embolism involves respiratory distress and is unrelated to local IV site findings.
B. Phlebitis presents with redness, warmth, pain, and sometimes a palpable cord, not coolness.
C. Infiltration occurs when IV fluid leaks into surrounding tissue causing edema and coolness at the site.
D. Fluid overload is a systemic condition, not localized to the IV site.
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