A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

Temperature

Urination

Pain control

Airway patency

Answer and Explanation

The Correct Answer is D

Choice A reason:
Monitoring temperature is important postoperatively as it can indicate infection or inflammation. However, it is not the immediate priority following a thyroidectomy. The primary concern post-thyroidectomy is ensuring the airway is not compromised due to swelling or bleeding.

Choice B reason:
Monitoring urination is part of postoperative care to ensure kidney function and that the body is adequately eliminating fluids. While important, it is not the priority in the immediate postoperative period following a thyroidectomy.

Choice C reason:
Pain control is essential for patient comfort and recovery. However, while managing pain is a significant aspect of postoperative care, it is not the most critical priority following a thyroidectomy. The nurse must first ensure that the airway is clear.

Choice D reason:
Airway patency is the priority for monitoring a client post-thyroidectomy. Due to the proximity of the surgery to the trachea, there is a risk of swelling, hematoma, or other complications that could lead to airway obstruction. Ensuring the client has a patent airway is crucial to prevent respiratory distress or compromise.

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Correct Answer is A

Explanation

Choice A reason:
Weight loss is a common finding in individuals with uncontrolled type 1 diabetes mellitus. Due to the lack of insulin, the body cannot utilize glucose effectively, leading to the breakdown of body fat and muscle for energy, resulting in weight loss.

Choice B reason:
Hematuria, or blood in the urine, is not a typical finding associated with uncontrolled type 1 diabetes mellitus. While diabetes can cause kidney damage over time, leading to proteinuria, hematuria would not be an expected finding solely due to uncontrolled diabetes.

Choice C reason:
Bradycardia, or a slower than normal heart rate, is not a common finding in uncontrolled type 1 diabetes mellitus. In fact, diabetes can sometimes cause autonomic neuropathy, which can affect the heart rate, but this typically does not result in bradycardia.

Choice D reason:
Hypertension is more commonly associated with type 2 diabetes mellitus, often due to insulin resistance. In type 1 diabetes, especially when uncontrolled, hypertension is not a typical finding unless there is coexisting kidney damage.

A. "It is caused by the lack of production of insulin by the pancreas." B. "It is caused by the overproduction of growth hormone by the pituitary gland." C. "It is caused by the overproduction of parathormone by the parathyroid gland." D. "It is caused by the lack of production of aldosterone by the adrenal gland."

Correct Answer is D

Explanation

Choice A reason:
The lack of insulin production by the pancreas is related to diabetes mellitus, not Addison's disease. Insulin is a hormone that regulates blood sugar levels, and its deficiency leads to diabetes, not Addison's disease.

Choice B reason:
The overproduction of growth hormone by the pituitary gland leads to conditions such as acromegaly or gigantism, depending on the age at which the hormone levels become elevated. It is not related to Addison's disease, which involves the adrenal glands, not the pituitary gland.

Choice C reason:
The overproduction of parathormone by the parathyroid glands leads to hyperparathyroidism, which can cause a variety of symptoms including bone pain, kidney stones, and abdominal pain. This condition is not related to Addison's disease.

Choice D reason:
Addison's disease is indeed caused by the lack of production of hormones by the adrenal glands, particularly cortisol and aldosterone. Aldosterone helps to maintain blood pressure and the balance of sodium and potassium in the blood. When the adrenal glands do not produce enough aldosterone, it can lead to symptoms such as low blood pressure and salt cravings, which are characteristic of Addison's disease.

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A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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