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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased calcium level is incorrect. Hyperparathyroidism leads to increased calcium levels (hypercalcemia) due to excessive parathyroid hormone (PTH), which increases calcium release from bones, absorption in the intestines, and reabsorption in the kidneys.
B. Decreased parathyroid hormone level is incorrect. In hyperparathyroidism, PTH levels are elevated, not decreased, due to excessive secretion by the parathyroid glands.
C. Increased phosphate level is incorrect. PTH causes renal phosphate excretion, leading to low or normal phosphate levels, rather than increased levels.
D. Increased magnesium level is correct. Parathyroid hormone increases magnesium reabsorption in the kidneys, leading to elevated magnesium levels in hyperparathyroidism.
Correct Answer is ["3.8"]
Explanation
To calculate the dose per administration, we need to determine the total daily dose and then divide it by the number of doses per day.
- Convert pounds to kilograms:
- 22 lb (1 kg / 2.2 lb) = 10 kg
- Calculate the total daily dose:
- 1.5 mg/kg/day 10 kg = 15 mg/day
- Determine the dose per administration:
- 15 mg/day / 4 doses/day = 3.75 mg/dose
- Calculate the volume to administer:
- 3.75 mg / 1 mg/mL = 3.75 mL
Therefore, the nurse should administer = 3.8 mL
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