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A nurse is caring for a client who is 1 day postoperative following a total thyroidectomy.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

evidenced by the .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

The client is at highest risk for developing hypocalcemia as evidenced by the total calcium level of 8.0 mg/dL (normal range 9.0 to 10.5 mg/dL).

Explanation:

After a total thyroidectomy, there is a risk of hypocalcemia due to potential damage or removal of the parathyroid glands, which regulate calcium levels in the body. The laboratory result indicating a total calcium level of 8.0 mg/dL, which is below the normal range, supports this risk. Hypocalcemia can lead to symptoms such as tingling, muscle cramps, or more severe complications like cardiac arrhythmias if not addressed promptly.


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Related Questions

Correct Answer is D

Explanation

A. The client is taking numerous deep, measured breaths. This is not an indication of potential violence, but rather a coping strategy to calm down and regulate emotions.

B. The client is calmly telling their partner that "the staff here is so controlling." This is not an indication of potential violence, but rather a expression of frustration or dissatisfaction with the treatment setting.

C. The client is sitting with their head in their hands and appears to be crying. This is not an indication of potential violence, but rather a sign of sadness or distress.

D. The client is pacing around the chair in which their partner is sitting. This is an indication of potential violence, as it shows restlessness, agitation, and possible intimidation of the partner.

Correct Answer is C

Explanation

A. The frequency in which the client presses the call button is not a priority for the change-of-shift report, as it does not indicate the level of pain or comfort of the client. This choice is incorrect.

B. The client's most recent ventilator settings are not applicable, as the client was weaned from mechanical ventilation and no longer requires it. This choice is incorrect.

C. The time of the client's last dose of pain medication is important for the change-of-shift report, as it helps to ensure continuity of care and prevent under- or over-medication of the client. This choice is correct.

D. The last time the provider evaluated the client is not relevant for the change-of-shift report, as it does not reflect the current status of the client. This choice is incorrect.

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