The nurse has reviewed the Nurses' Notes and Vital Signs at 1200.
Which of the following 2 findings indicate that the client is experiencing a complication after the procedure?
Hoarseness
Drainage
Sensation
Vital signs
Pain assessment
Correct Answer : C,D
- Hoarseness: Mild hoarseness is a common temporary effect after thyroid surgery due to irritation or swelling near the recurrent laryngeal nerve. While it needs monitoring, slight hoarseness alone is not necessarily a sign of a serious complication if it is not worsening or associated with airway compromise.
- Drainage: A moderate amount of serosanguineous drainage from the incision site is expected after surgery. Although the drainage should continue to be monitored for increase or color change, the amount described here is not immediately concerning for a postoperative complication.
- Sensation: The client reports tingling in the fingers, which suggests hypocalcemia due to accidental removal or damage to the parathyroid glands during surgery. Hypocalcemia is a serious complication of thyroidectomy that can progress to muscle cramps, tetany, and seizures if untreated.
- Vital signs: The client’s rising temperature, tachycardia, hypertension, and increased respiratory rate are concerning for a developing thyroid storm, a rare but life-threatening complication after thyroid surgery. These vital signs warrant immediate intervention to prevent rapid deterioration.
- Pain assessment: A pain score of 3 out of 10 is mild and expected following surgery. This level of discomfort is manageable and not indicative of a major complication, provided it does not rapidly escalate or localize severely around the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
Desired dose = 0.25 mg
Available concentration = 1 mg/mL
Calculate the volume to administer:
Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 0.25 mg / 1 mg/mL
= 0.25 mL
Correct Answer is B
Explanation
A: Image A shows the ankle area, which is an example of a hinge joint, not a ball and socket joint. Hinge joints allow movement in one plane, such as flexion and extension, similar to the motion of a door hinge. The ankle allows primarily up-and-down movement but does not rotate in multiple directions like a ball and socket joint would.
B: Image B shows the hip area, which represents a ball and socket joint. In a ball and socket joint, the round head of one bone fits into the cup-like socket of another bone, allowing movement in multiple directions. The hip and the shoulder are classic examples of ball and socket joints, permitting rotation, flexion, extension, abduction, and adduction.
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