A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Client report of incisional pain
Muscle twitching
Serosanguineous drainage
Client report of nausea
The Correct Answer is B
A. Incisional pain is expected postoperatively but does not necessarily indicate an immediate complication.
B. Muscle twitching can be a sign of hypocalcemia, which is a serious complication after thyroidectomy due to possible damage or removal of the parathyroid glands, and requires prompt intervention.
C. Serosanguineous drainage is normal in the early postoperative period and usually not concerning unless it becomes excessive or changes in character.
D. Nausea is common after surgery but is not as urgent as signs of potential hypocalcemia or other serious complications.
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Related Questions
Correct Answer is B
Explanation
A. While this statement acknowledges the dietitian’s role, it does not actively involve the client in their care.
B. Assisting the client in making a list of preferred foods encourages their participation and ensures the dietary plan is personalized to their preferences.
C. Validating the client's feelings is supportive but does not actively engage them in their care.
D. This statement is somewhat vague and does not specifically involve the client in the decision-making process.
Correct Answer is C
Explanation
Answer: C
Rationale:
A) "I should use natural skin condoms during sexual intercourse.
Natural skin condoms do not provide adequate protection against viral infections like genital herpes, as they contain small pores that can allow virus transmission. Latex or polyurethane condoms should be used instead to reduce the risk of spreading the infection.
B) "I should apply antibiotic ointment to the lesions."
Genital herpes is caused by the herpes simplex virus (HSV), not bacteria, so antibiotic ointments are ineffective. Instead, antiviral medications such as acyclovir, valacyclovir, or famciclovir are prescribed to reduce symptoms and viral shedding.
C) "I should expect to take my medication for 3 weeks."
Antiviral treatment for an initial outbreak of genital herpes typically lasts 7 to 10 days, but in cases of severe or prolonged symptoms, therapy may be extended for up to 3 weeks. This statement reflects an understanding of the duration of treatment.
D) "I should expect my lesions to resolve in 6 weeks."
Genital herpes lesions usually heal within 2 to 4 weeks during an initial outbreak. Subsequent outbreaks tend to resolve faster, typically within 7 to 10 days. A healing time of 6 weeks is longer than expected.
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