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. A 2-hour blood glucose of 132 mg/dL is within normal limits, as levels under 140 mg/dL are considered normal after an oral glucose tolerance test.
B. A fasting blood glucose level of 155 mg/dL is above the normal threshold (greater than 126 mg/dL indicates diabetes).
C. A casual blood glucose of 178 mg/dL suggests hyperglycemia but does not meet the diagnostic criteria for diabetes unless associated with symptoms.
D. An HbA1c of 5.2% is well within the normal range (below 5.7%).

A. Butterfly rash B. Muscle hypertrophy C. Moon face D. Positive Chvostek's sign

Correct Answer is C

Explanation

A. A butterfly rash is associated with systemic lupus erythematosus (SLE), not Cushing's syndrome.
B. Muscle hypertrophy is not typically seen in Cushing's syndrome; instead, muscle wasting may occur due to excess cortisol.
C. Moon face is a classic sign of Cushing's syndrome, resulting from fat redistribution caused by elevated cortisol levels.
D. A positive Chvostek's sign indicates hypocalcemia, which is not a finding associated with Cushing's syndrome.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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