A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply)

Choice A rationale: Tetany is a neuromuscular hyperexcitability disorder caused by hypocalcemia, which can be a complication of a thyroidectomy due to accidental removal or damage to the parathyroid glands. Symptoms include tingling sensations, muscle spasms, and carpopedal spasms. While a possible post-surgical complication, the client’s signs of high temperature, tachycardia, and restlessness point to a different, more severe condition.
Choice B rationale: Hypoglycemia is a state of low blood glucose, typically below 70 mg/dL. Symptoms include sweating, shakiness, confusion, and hunger. The client’s signs of a high temperature, tachycardia, and extreme restlessness are not classic symptoms of hypoglycemia. Furthermore, hypoglycemia is not typically a complication of a thyroidectomy unless the client has a pre-existing diabetic condition.
Choice C rationale: A thyroid crisis, or thyroid storm, is a life-threatening complication of hyperthyroidism that can be precipitated by surgery, particularly a thyroidectomy, in an inadequately prepared client. It is characterized by a massive release of thyroid hormones, leading to a hypermetabolic state with symptoms including extremely high fever, severe tachycardia, altered mental status, and cardiovascular collapse. The client's symptoms are classic signs of this condition.
Choice D rationale: Diabetic ketoacidosis (DKA) is a severe complication of uncontrolled diabetes mellitus characterized by hyperglycemia, metabolic acidosis, and ketone body production. Symptoms include fruity breath, abdominal pain, and Kussmaul respirations. A thyroidectomy is not a direct cause of DKA. The client’s signs and symptoms, particularly the very high temperature, are not typical of DKA.

Choice A rationale: Taking insulin immediately before exercise can be dangerous for a person with diabetes. Physical activity increases glucose uptake by muscle cells, which, when combined with the effect of exogenous insulin, can lead to a rapid and significant drop in blood glucose levels, resulting in exercise-induced hypoglycemia.
Choice B rationale: Eating a large meal immediately before or during exercise is not the recommended treatment for hypoglycemia. While a large meal will raise blood glucose, it is not the most rapid or efficient method. A concentrated source of simple carbohydrates is required to quickly raise blood sugar to a safe level.
Choice C rationale: Hard candy contains simple carbohydrates, such as sucrose or dextrose, which are rapidly absorbed into the bloodstream. This quick absorption is crucial for reversing the symptoms of hypoglycemia, such as lightheadedness and shakiness, which are caused by insufficient glucose delivery to the brain.
Choice D rationale: For many people with diabetes, adjusting insulin dosage is necessary to prevent hypoglycemia during exercise. However, a blanket recommendation to take no insulin before exercise is not scientifically sound or safe. The appropriate action depends on the type, duration, and intensity of exercise, as well as current blood glucose levels.