A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

Airway patency

Hoarseness

Pain control

Visual deficits

Answer and Explanation

The Correct Answer is A

A. Airway patency is the priority concern following a thyroidectomy due to the risk of swelling or bleeding that can compress the airway, leading to respiratory compromise.
B. Hoarseness can occur due to laryngeal nerve irritation but is not the priority over airway concerns.
C. Pain control is important but is not the primary priority compared to maintaining a patent airway.
D. Visual deficits are not typically related to postoperative thyroidectomy care.

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Correct Answer is A

Explanation

A. Regular soda provides a fast-acting source of glucose, which is essential for quickly raising blood sugar levels in a hypoglycemic event.
B. While oral glucose tablets are a good option, they may not act as quickly as soda in this case, especially if not immediately available.
C. Milk contains lactose, which takes longer to convert into glucose and is not ideal for rapidly raising blood glucose levels.
D. Hard candy can work, but soda is often faster in delivering glucose.

A. "I took a laxative yesterday." B. "I haven't had anything to eat or drink since last night." C. "The last time I voided it was painful." D. "I took my metformin before breakfast."

Correct Answer is D

Explanation

A. Taking a laxative yesterday is not directly relevant to the IVP procedure and does not typically pose a significant risk.
B. Not eating or drinking since the night before is expected for clients scheduled for an IVP due to the need for fasting prior to the procedure.
C. Reporting painful voiding may indicate a urinary tract issue, but it is not directly related to the IVP itself.
D. Taking metformin before breakfast is concerning because metformin should generally be withheld prior to IV contrast studies due to the risk of lactic acidosis, especially if renal function is compromised.

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A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

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