The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?
Oral temperature of 99.8°F (37.7°C)
Post-operative hemoglobin of 10.9 g/dL (normal range: 12-16 g/dL)
Client report of pressure sensation at the incision site
Client report of 5/10 pain at the incision site
The Correct Answer is C
Choice A reason: An oral temperature of 99.8°F (37.7°C) post-operatively may not be unusual and does not necessarily indicate a complication.
Choice B reason: A post-operative hemoglobin of 10.9 g/dL is slightly below the normal range but may be expected after surgery due to blood loss.
Choice C reason: A client reporting a pressure sensation at the incision site could indicate bleeding or swelling under the incision, which can be a sign of a hematoma, a serious complication that needs immediate attention.
Choice D reason: Pain at the incision site is expected post-operatively and can be managed with pain relief measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A reason: Resting tremor is a classic symptom of Parkinson's disease and is one of the primary diagnostic criteria.
Choice B reason : Limited range of motion is not specific to Parkinson's disease and can be caused by various conditions.
Choice C reason : Hypertension is not a diagnostic criterion for Parkinson's disease.
Choice D reason : Difficulty rising to stand is associated with the bradykinesia seen in Parkinson's disease, making it a relevant symptom for diagnosis.
Choice E reason : Diarrhea is not typically associated with Parkinson's disease and is not a diagnostic criterion.
Correct Answer is C
Explanation
Choice A reason: The statement about being able to sit down to put on pants and shoes indicates that the client is implementing safety measures to prevent falls, which is a positive outcome of effective teaching.
Choice B reason: Exercising daily and resting when tired is an appropriate strategy for managing Parkinson's disease symptoms, suggesting that the client has understood the education provided.
Choice C reason: The statement about not needing a walker could indicate a lack of understanding of the importance of mobility aids in preventing falls, which is a concern for clients with Parkinson's disease.
Choice D reason: Removing loose rugs from the house is a preventive measure to reduce fall risk, indicating that the client and family have understood and applied the education.
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