A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?

Soreness at the incision site

Serosanguineous drainage on the dressing

Report of sore throat

Tingling of the fingers

Answer and Explanation

The Correct Answer is D

A. Soreness at the incision site: Mild soreness is an expected postoperative finding.
B. Serosanguineous drainage on the dressing: This type of drainage is typical after surgery and not concerning unless it becomes excessive.
C. Report of a sore throat: A sore throat is expected due to intubation during anesthesia and does not indicate a complication.
D. Tingling of the fingers: Tingling of the fingers suggests hypocalcemia due to potential damage to the parathyroid glands during surgery. This is a serious complication and requires immediate evaluation.

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Correct Answer is A

Explanation

A. The client arouses easily but quickly falls back asleep. This could indicate a potential complication, such as a postoperative haemorrhage, hypovolemia which can lead to decreased perfusion and oxygenation.
B. 20 mL of dark red drainage over 4 hours: This is expected postoperative output.
C. 60 mL of dark yellow urine over 4 hours: This is a low output but not immediately critical compared to potential hypoxia.
D. Pain level of 6/10 at the incision site: Pain is expected and manageable with interventions, making it less critical.

A. "I can decrease my risk for a stroke by losing excess weight." B. "My risk for a stroke increases if my HbA1c level is 5 percent or less." C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke." D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke."

Correct Answer is A

Explanation

A. "I can decrease my risk for a stroke by losing excess weight.": Excess weight is a modifiable risk factor for stroke, and losing weight can improve glycemic control, blood pressure, and cholesterol levels, reducing stroke risk.
B. "My risk for a stroke increases if my HbA1c level is 5 percent or less.": An HbA1c level of 5% is excellent and indicates good glycemic control, which reduces stroke risk.
C. "Having a total cholesterol level below 200 mg/dL increases my risk for a stroke.": A cholesterol level below 200 mg/dL is desirable and lowers the risk of cardiovascular events, including stroke.
D. "My provider might prescribe a glucocorticoid regimen to decrease my risk for a stroke.": Glucocorticoids are not used to reduce stroke risk; they can actually increase blood sugar and cardiovascular risk if used long-term.

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A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?

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