A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?

Soreness at the incision site

Serosanguineous drainage on the dressing

Report of sore throat

Tingling of the fingers

Answer and Explanation

The Correct Answer is D

A. Soreness at the incision site: Mild soreness is an expected postoperative finding.
B. Serosanguineous drainage on the dressing: This type of drainage is typical after surgery and not concerning unless it becomes excessive.
C. Report of a sore throat: A sore throat is expected due to intubation during anesthesia and does not indicate a complication.
D. Tingling of the fingers: Tingling of the fingers suggests hypocalcemia due to potential damage to the parathyroid glands during surgery. This is a serious complication and requires immediate evaluation.

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Correct Answer is D

Explanation

A. Clamp the tube for 30 min every 8 hr: Clamping a chest tube increases the risk of tension pneumothorax and is contraindicated unless ordered by a provider.
B. Pin the tubing to the client's bed sheets: Pinning can cause disconnection or kinking of the tubing, leading to drainage issues.
C. Monitor for at least 150 mL of drainage every hour: Drainage greater than 100 mL/hour, especially after the first hour, should be reported as it may indicate hemorrhage.
D. Replace the unit when the drainage chamber is full. A full drainage chamber must be replaced to ensure the system functions properly and prevents complications like backflow.

A. Fluid intake B. Temperature C. Wound findings D. Pain level E. Report of nausea F. Bowel sounds

Correct Answer is ["D","E","F"]

Explanation

A. Fluid intake: While fluid balance is important, there is no specific information indicating that changes in fluid intake are an indicator of the client’s condition improving in this context.
B. Temperature: The client's temperature has increased from 38.3°C (101°F) on Day 1 to 39.2°C (102.5°F) on Day 4. An increase in temperature indicates a possible infection or ongoing inflammation and does not suggest an improvement in the client’s condition.
C. Wound findings: There are no documented wound findings in the given notes. Thus, wound findings are not applicable in determining whether the client’s condition has improved in this scenario.
D. Pain level: The client's pain level has decreased from 7 to 3, indicating improvement.
E. Report of nausea: The client reports feeling less nauseous and has not vomited since yesterday, which is a sign of improvement.
F. Bowel sounds: The bowel sounds are more regular and less high-pitched, suggesting improvement in gastrointestinal function.

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A nurse is collecting data from a client who underwent a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication of the procedure?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse continues to assist with the care of the client. Exhibits Which of the following findings indicates that the client's condition has improved? Select all that apply.

Correct Answer is ["D","E","F"]

Explanation

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