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 D
Explanation
Choice A reason: Increasing oxygen to 3 L/min may help but risks CO2 retention in COPD without assessing respiratory rate, depth, and saturation first, making it premature.
Choice B reason: Coughing clears secretions, but without assessing respiratory status, it’s unclear if secretions are the issue or if the client can effectively cough, so it’s not priority.
Choice C reason: Calling emergency services assumes severity without data like oxygen saturation or distress level, delaying care by skipping initial assessment in this stable setting.
Choice D reason: Assessing respiratory status (rate, oxygen saturation, lung sounds) identifies the cause of difficulty, guiding interventions like oxygen adjustment or escalation, per ABC priority.
Correct Answer is C
Explanation
Choice A reason: Albumin and furosemide treat fluid shifts or edema, not acute diverticulitis, which requires bowel rest, not volume or protein correction initially.
Choice B reason: High fiber aids chronic diverticulosis, but in acute diverticulitis, it worsens inflammation; rest, not fiber, is needed during active infection.
Choice C reason: NPO and IV fluids rest the bowel, reducing inflammation and perforation risk in acute diverticulitis, while maintaining hydration, the standard approach.
Choice D reason: Barium enema risks perforation in acute diverticulitis due to inflamed diverticula; it’s contraindicated until inflammation subsides, not ordered acutely.
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