A nurse is caring for a client with thyroid cancer who has undergone surgery, and a significant amount of parathyroid tissue has been removed. The nurse should prioritize what question when addressing potential complications?

"Do you feel any muscle twitches or spasms?"

"Do you feel flushed or sweaty?"

"Are you experiencing any dizziness or lightheadedness?"

"Are you having any pain that seems to be radiating from your bones?"

Answer and Explanation

The Correct Answer is A

A. Removal or injury of the parathyroid glands during thyroid surgery can lead to hypocalcemia, which often presents with muscle twitching, spasms, or tingling (especially around the mouth or in the fingers). This is the most urgent complication to assess for.
B. Flushing or sweating is more indicative of a hypermetabolic state, such as in hyperthyroidism or pheochromocytoma, not parathyroid-related issues.
C. Dizziness or lightheadedness is nonspecific and not typically the first sign of hypocalcemia.
D. Bone pain may be associated with chronic hyperparathyroidism, not acute postoperative hypocalcemia.

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Correct Answer is C

Explanation

A. Diuretics are used to manage fluid overload and ascites, not ammonia levels.
B. Fluid restriction may be necessary in cases of hyponatremia but does not lower ammonia levels.
C. Reducing protein intake helps decrease ammonia production, since protein breakdown in the gut contributes to ammonia formation, which the impaired liver cannot detoxify effectively.
D. Vitamin K is given to improve clotting in liver disease but does not affect ammonia metabolism.

A. Following proper hand-washing techniques B. Avoiding chemicals that are toxic to the liver C. Avoiding chemicals that are toxic to the liver D. Limiting alcohol intake

Correct Answer is A

Explanation

A. Hepatitis E virus is transmitted primarily through the fecal-oral route, so following proper hand-washing techniques is essential to prevent infection.
B. Avoiding liver-toxic chemicals helps maintain liver health but does not prevent hepatitis E infection.
C. Avoiding contaminated water and food also helps prevent hepatitis E since it is often spread through contaminated sources.
D. Limiting alcohol intake supports liver health but is not a direct preventive measure against hepatitis E virus.

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A nurse is caring for a client with thyroid cancer who has undergone surgery, and a significant amount of parathyroid tissue has been removed. The nurse should prioritize what question when addressing potential complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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