A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Client report of nausea
Serosanguineous drainage
Muscle twitching
Client report of incisional pain
The Correct Answer is C
C. Muscle twitching post-thyroidectomy can indicate hypocalcemia, a common complication due to inadvertent damage or removal of the parathyroid glands during surgery. Hypocalcemia can lead to neuromuscular irritability, including muscle twitching, tingling, or tetany.
A Nausea is a common postoperative symptom and can be caused by anesthesia, pain medications, or changes in gastrointestinal function. While uncomfortable, nausea alone is typically not an urgent concern
B Serosanguineous drainage (thin, pink-tinged fluid) from the surgical incision is expected in the early postoperative period. It indicates normal wound healing and does not usually require urgent attention
D. Routine incisional pain does not typically require urgent reporting unless accompanied by other concerning symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Hypotension suggests inadequate perfusion, which could prompt an increase in dopamine dosage to improve blood pressure and perfusion.
A A heart rate of 60/min is within the normal range for adults and may not necessarily indicate a need to increase dopamine dosage unless accompanied by signs of inadequate perfusion
C. Oxygen saturation of 95% is within the normal range and indicates adequate oxygenation. It does not directly inform the need to increase dopamine dosage
D. A respiratory rate of 14/min is within the normal range. Respiratory rate alone does not typically guide dopamine dosage adjustments unless respiratory distress or acidosis indicates poor tissue perfusion.
Correct Answer is A
Explanation
A This statement indicates an understanding of the right to refuse treatment at any time, even after it has been initiated. Clients have the right to change their mind about treatment options and can withdraw their consent at any stage of treatment.
B. This statement suggests a misunderstanding of informed consent. Informed consent means the client understands the risks, benefits, and alternatives to a proposed treatment or procedure. Signing a consent form because one believes there are no other options does not reflect an informed decision- making process.
C. This statement indicates a misconception about treatment options. Clients have the right to refuse a specific treatment plan or procedure and explore other options or seek a second opinion. Refusal of one treatment does not necessarily preclude the possibility of pursuing alternative treatments.
D. This statement indicates a misunderstanding of the risks associated with treatment. It's crucial for clients to understand both the potential benefits and possible adverse effects of any treatment they undergo. Radiation treatment, like any medical intervention, carries risks that should be weighed against potential benefits.
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