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 C

Explanation

A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.

A. Clammy skin B. Rapid pulse C. Polydipsia D. Confusion

Correct Answer is C

Explanation

A. Clammy skin is associated with hypoglycemia, not diabetic ketoacidosis (DKA).
B. A rapid pulse can be present in DKA, but it is not a definitive indicator of the condition.
C. Polydipsia (excessive thirst) is a hallmark symptom of DKA, as the body tries to compensate for the severe dehydration caused by hyperglycemia and osmotic diuresis.
D. Confusion can occur in DKA, but it is usually a later sign when the condition becomes severe and metabolic acidosis worsens.

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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?

Nursing Test Bank

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Correct Answer is C

Explanation

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