The nurse is assessing a client who is one day postoperative from a parathyroidectomy and finds that the client is experiencing tenderness. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Central line insertion.

Nasogastric tube (NGT) insertion.

Pacemaker placement.

Tracheostomy placement.

Answer and Explanation

The Correct Answer is D

Choice A reason: Central line insertion is not indicated for postoperative tenderness and does not address airway compromise or hypocalcemia.
Choice B reason: NGT insertion is unrelated to parathyroid surgery complications and would not be a priority intervention.
Choice C reason: Pacemaker placement is not relevant unless there is a cardiac conduction issue, which is not suggested by the scenario.
Choice D reason: Tracheostomy may be necessary if airway compromise occurs due to postoperative hematoma or swelling. Tenderness in the neck area post-parathyroidectomy can signal early airway obstruction, requiring immediate airway management.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Illness often causes blood glucose fluctuations due to stress hormones. Fewer glucose checks would risk missing hyperglycemia or hypoglycemia, making this an unsafe recommendation.

Choice B reason: Restricting caloric intake during illness may lead to hypoglycemia, especially if insulin doses are maintained. Nutritional support is vital during infection.

Choice C reason: Increased oral fluid intake is encouraged to prevent dehydration and support metabolic function, but it does not directly address glucose management.

Choice D reason: Illness-induced stress can elevate blood glucose levels, often requiring temporary increases in insulin dosage to maintain glycemic control and prevent complications like diabetic ketoacidosis.

A. Profuse diaphoresis and severe, pounding headache. B. Pain and a burning sensation upon urination and hematuria. C. Reports of chest pain and shortness of breath. D. Hypotension and venous pooling in the extremities.

Correct Answer is A

Explanation

Choice A reason: Autonomic dysreflexia is a life-threatening condition triggered by noxious stimuli below the level of spinal cord injury, such as bladder distention. It leads to sudden hypertension, profuse sweating, and a severe headache due to unregulated sympathetic discharge.
Choice B reason: Pain and burning during urination may indicate a urinary tract infection but are not hallmark signs of autonomic dysreflexia.
Choice C reason: Chest pain and dyspnea are not typical features of autonomic dysreflexia and may suggest cardiac or pulmonary pathology instead.
Choice D reason: Hypotension and venous pooling are more consistent with neurogenic shock, not autonomic dysreflexia, which is characterized by hypertension and vasoconstriction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assessing a client who is one day postoperative from a parathyroidectomy and finds that the client is experiencing tenderness. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetes mellitus is admitted with an upper respiratory infection (URI). Which changes in blood glucose management should the nurse tell the client to expect?

Correct Answer is D

Explanation

A client who had a C5 spinal cord injury (SCI) 2 years ago is admitted to the emergency department (ED) with a diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

Correct Answer is A

Explanation

The nurse is caring for a client with herpes zoster virus who reports painful, red blisters that align from the back along the thoracic curvature to the anterior chest. Which intervention is the highest priority for the nurse?

A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client’s plan of care (POC)?

The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

The nurse is providing discharge instructions to a client who is receiving prednisone 5 mg PO daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client to report to the healthcare provider?

A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to awaken during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

A client who works as a data entry clerk is concerned about how a recent diagnosis of Raynaud's syndrome will affect their job performance. Which instruction should the nurse provide to this client?

Four days following an abdominal aortic aneurysm (AAA) repair, the client is exhibiting edema of both lower extremities and pedal pulses are not palpable. Which action should the nurse implement first?

A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?