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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Untreated hypothyroidism progresses to myxedema, a severe state with slowed metabolism causing fatigue, cold intolerance, constipation, and hair loss from low thyroid hormone.

Choice B reason: Hypocalcemia results from hypoparathyroidism, not hypothyroidism, which affects metabolism, not calcium regulation directly, so it’s unrelated to these symptoms.

Choice C reason: Pericarditis may occur in severe hypothyroidism late, but it’s not the primary complication; myxedema encompasses the broader metabolic decline seen here.

Choice D reason: Thyroid crisis (storm) is a hyperthyroid emergency with fever and tachycardia, opposite to hypothyroidism’s slow symptoms like coldness and fatigue.

A. A client with an intestinal obstruction whose nasogastric tube has drained 150 mL in 8 hours B. A client with ascites who has a respiratory rate of 26 and oxygen saturation level of 90% C. A client with acute pancreatitis who has decreased breath sounds with increased crackles D. A client with stable esophageal varices and a blood pressure of 92/45

Correct Answer is C

Explanation

Choice A reason: 150 mL NG drainage in 8 hours is low for obstruction, suggesting stability; it’s less urgent than respiratory compromise in other clients.

Choice B reason: Respiratory rate 26 and 90% saturation indicate distress in ascites, but crackles suggest fluid overload, less acute than pancreatitis’s pulmonary risk.

Choice C reason: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening complication, prioritizing immediate respiratory assessment.

Choice D reason: BP 92/45 with stable varices is concerning but not acutely unstable without bleeding signs, less critical than respiratory failure in pancreatitis.

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During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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