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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Elevating legs above heart level aids venous return, not arterial flow, worsening PAD’s poor circulation, reducing oxygen to ischemic tissues further.
Choice B reason: Warm environments dilate peripheral vessels, improving blood flow to PAD-affected limbs, reducing claudication pain and supporting tissue perfusion safely.
Choice C reason: Heating pads risk burns in PAD due to reduced sensation and poor healing, potentially worsening ischemic damage rather than relieving pain effectively.
Choice D reason: Antiembolic stockings prevent clots in venous stasis, not PAD, an arterial issue, and may compress arteries, further impairing circulation to legs.
Correct Answer is D
Explanation
Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
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