During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?

Thyroid cancer

Goiter

Graves' disease

Tetany

Answer and Explanation

The Correct Answer is D

Choice A reason: Thyroid cancer involves malignant thyroid growth, not a consequence of parathyroid damage during surgery, which affects calcium, not cancer risk.

Choice B reason: Goiter is thyroid enlargement from iodine issues or hyperplasia, unrelated to parathyroid damage, which controls calcium, not thyroid size.

Choice C reason: Graves’ disease, hyperthyroidism, results from autoantibodies, not parathyroid injury, which causes hypocalcemia, not thyroid hormone excess.

Choice D reason: Parathyroid damage reduces PTH, dropping calcium levels, leading to tetany—muscle spasms from hypocalcemia, a direct surgical complication.

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Correct Answer is D

Explanation

Choice A reason: Creatinine 5.1 in ESRD is chronic, not acute, and stable unless symptomatic; it’s less urgent than potential bleeding risks in other clients.

Choice B reason: Pain (6/10) in pancreatitis is significant but not immediately life-threatening compared to airway or bleeding risks, manageable with scheduled interventions.

Choice C reason: Itchiness and drowsiness in cirrhosis suggest liver dysfunction, concerning but not acute threats like variceal rupture, prioritizing more critical symptoms.

Choice D reason: Coughing with esophageal varices risks rupture and massive bleeding, a life-threatening emergency, making this client the priority for immediate assessment.

A. Epigastric fullness and increasing combativeness B. Yellow sclera, hypertension, and hypoalbuminemia C. Bradycardia, lethargy, and hypotension D. Tachycardia, restlessness, and pallor

Correct Answer is D

Explanation

Choice A reason: Epigastric fullness may suggest variceal pressure, but combativeness isn’t typical early bleeding; it’s more neurological, not a direct blood loss sign.

Choice B reason: Yellow sclera and hypoalbuminemia reflect liver dysfunction, not acute bleeding; hypertension contradicts blood loss, which lowers pressure initially.

Choice C reason: Bradycardia and lethargy occur late in severe hypovolemia, not early; hypotension fits bleeding but isn’t paired with early compensatory signs here.

Choice D reason: Tachycardia compensates for early blood loss in varices, restlessness reflects hypoxia, and pallor shows reduced perfusion, all classic initial bleeding indicators.

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During thyroid surgery, the client's parathyroid glands have been damaged. Which condition does the nurse expect the client to develop?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for the following clients. Which client should the nurse assess first?

Correct Answer is D

Explanation

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Correct Answer is D

Explanation

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