During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?
Thyroid cancer
Goiter
Graves' disease
Tetany
The Correct Answer is D
Choice A reason: Thyroid cancer involves malignant thyroid growth, not a consequence of parathyroid damage during surgery, which affects calcium, not cancer risk.
Choice B reason: Goiter is thyroid enlargement from iodine issues or hyperplasia, unrelated to parathyroid damage, which controls calcium, not thyroid size.
Choice C reason: Graves’ disease, hyperthyroidism, results from autoantibodies, not parathyroid injury, which causes hypocalcemia, not thyroid hormone excess.
Choice D reason: Parathyroid damage reduces PTH, dropping calcium levels, leading to tetany—muscle spasms from hypocalcemia, a direct surgical complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Butterfly rash, a malar erythema, is a classic SLE sign, triggered by photosensitivity and immune complex deposition in skin, reflecting systemic inflammation.
Choice B reason: Pleural effusions occur in SLE from serositis, where autoantibodies inflame pleura, causing fluid buildup, a common thoracic manifestation of the disease.
Choice C reason: Elevated ammonia levels relate to liver failure, not SLE, which affects kidneys and joints, not ammonia metabolism, making this unrelated.
Choice D reason: Pericarditis in SLE results from immune-mediated inflammation of the pericardium, causing chest pain and effusion, a frequent cardiac feature.
Choice E reason: Esophageal varices stem from portal hypertension in cirrhosis, not SLE, which targets connective tissues, not liver vasculature directly.
Correct Answer is D
Explanation
Choice A reason: Epigastric fullness may suggest variceal pressure, but combativeness isn’t typical early bleeding; it’s more neurological, not a direct blood loss sign.
Choice B reason: Yellow sclera and hypoalbuminemia reflect liver dysfunction, not acute bleeding; hypertension contradicts blood loss, which lowers pressure initially.
Choice C reason: Bradycardia and lethargy occur late in severe hypovolemia, not early; hypotension fits bleeding but isn’t paired with early compensatory signs here.
Choice D reason: Tachycardia compensates for early blood loss in varices, restlessness reflects hypoxia, and pallor shows reduced perfusion, all classic initial bleeding indicators.
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