The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

Oral temperature of 99.8°F (37.7°C)

Post-operative hemoglobin of 10.9 g/dL (normal range: 12-16 g/dL)

Client report of pressure sensation at the incision site

Client report of 5/10 pain at the incision site

Answer and Explanation

The Correct Answer is C

Choice A reason: An oral temperature of 99.8°F (37.7°C) post-operatively may not be unusual and does not necessarily indicate a complication.

Choice B reason: A post-operative hemoglobin of 10.9 g/dL is slightly below the normal range but may be expected after surgery due to blood loss.

Choice C reason: A client reporting a pressure sensation at the incision site could indicate bleeding or swelling under the incision, which can be a sign of a hematoma, a serious complication that needs immediate attention.

Choice D reason: Pain at the incision site is expected post-operatively and can be managed with pain relief measures.

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Correct Answer is C

Explanation

Choice A reason: Less constipation is not a direct indicator of effective PTU therapy, as constipation can be associated with hypothyroidism, and PTU is used to treat hyperthyroidism.

Choice B reason: Weight loss is expected in hyperthyroidism, and PTU is used to reduce thyroid hormone levels, not to promote weight loss.

Choice C reason: A reduction in facial puffiness can indicate that the PTU is effectively reducing thyroid hormone levels, as puffiness can be associated with hyperthyroidism.

Choice D reason: Improvement in vision is not a typical outcome of PTU therapy and does not directly indicate its effectiveness.

A. Slowed movement when rising from a chair B. Chronic diarrhea C. Difficulty swallowing D. Shuffling gait

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Slowed movement when rising from a chair is a common symptom of Parkinson's disease, known as bradykinesia.

Choice B reason: Chronic diarrhea is not typically associated with Parkinson's disease.

Choice C reason: Difficulty swallowing, or dysphagia, is a common issue in Parkinson's disease due to impaired muscle control.

Choice D reason: A shuffling gait is characteristic of Parkinson's disease, often referred to as "festinating gait."

Choice E reason: Lower extremity edema is not a typical symptom of Parkinson's disease and may indicate other health issues.

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The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with thyroid disease is being treated with propylthiouracil (PTU). Which statement made by the client indicates the medication therapy is effective?

Correct Answer is C

Explanation

The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A client has the following arterial blood gas (ABG) results: pH 7.51, PaCO2 39 mm Hg, HCO3 32 mEq/L. How would the nurse interpret these results? Normal values: pH: 7.35-7.45, PaCO2: 35-45 mm Hg, HCO3: 22-26 mEq/L

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