A nurse is caring for a client who is 1 day postoperative following a total thyroidectomy.
Complete the following sentence by using the lists of options.
The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
The client is at highest risk for developing hypocalcemia as evidenced by the total calcium level of 8.0 mg/dL (normal range 9.0 to 10.5 mg/dL).
Explanation:
After a total thyroidectomy, there is a risk of hypocalcemia due to potential damage or removal of the parathyroid glands, which regulate calcium levels in the body. The laboratory result indicating a total calcium level of 8.0 mg/dL, which is below the normal range, supports this risk. Hypocalcemia can lead to symptoms such as tingling, muscle cramps, or more severe complications like cardiac arrhythmias if not addressed promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hold hands folded below the waist after donning sterile gloves. This is incorrect because holding hands below the waist can contaminate the gloves with microorganisms from the floor or clothing.
B. Pick up and pour solutions with the palm of the hand covering bottle labels. This is incorrect because covering bottle labels can obscure important information such as expiration dates or ingredients.
C. Keep sterile items within a 1.3 cm (0.5 in) border of the sterile drape. This is incorrect because the border of the sterile drape is considered contaminated and any sterile item that touches it becomes contaminated as well.
D. Maintain sterile objects within the line of vision. This is correct because keeping an eye on sterile objects ensures that they are not accidentally touched by nonsterile items or persons.
Correct Answer is B
Explanation
A is incorrect because the completion of the incident report should not be documented in the client's medical record, but in a separate file for quality improvement purposes.
B is correct because the time the medication was given is an essential fact related to the incident that should be documented in the client's medical record.
C is incorrect because the reason for the medication error should not be documented in the client's medical record, but in the incident report for analysis and prevention of future errors.
D is incorrect because the notification of the pharmacist should not be documented in the client's medical record, but in the incident report for follow-up and corrective actions.
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