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 B

Explanation

A. Weight gain is typically associated with hypothyroidism; clients with hyperthyroidism often experience weight loss due to increased metabolism.
B. Frequent mood changes, including anxiety and irritability, are common in hyperthyroidism as a result of increased thyroid hormone levels affecting mood regulation.
C. Sensitivity to cold is associated with hypothyroidism; hyperthyroid clients usually have an increased sensitivity to heat.
D. Constipation is more characteristic of hypothyroidism; hyperthyroidism often causes increased bowel movements or diarrhea.

A. "Wear closed-toed shoes daily." B. "Plan to have an eye examination once per year." C. "Examine your feet carefully every day." D. "Maintain stable blood glucose levels."

Correct Answer is D

Explanation

A. Wearing closed-toed shoes daily is important for foot protection but does not address the root cause of diabetic complications.
B. Annual eye examinations are essential, but they are part of a broader strategy for monitoring and preventing complications rather than the most critical preventive measure.
C. Examining feet daily can help detect injuries or complications early, but it does not prevent the underlying issues associated with diabetes.
D. Maintaining stable blood glucose levels is the most important action because it directly impacts the risk of developing complications such as retinopathy and neuropathy. Good glycemic control helps prevent the progression of these conditions.

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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

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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