What statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse?

"This IV infusion makes me urinate more often than usual."

"I'm most comfortable when the head of the bed is raised."

"The dressing over my incision feels like it is too tight."

"When I get out of bed quickly, I feel a little dizzy."

Answer and Explanation

The Correct Answer is C

A. Increased urination due to IV fluids is common and not immediately concerning.

B. Comfort with an elevated head of bed is typical postoperatively.

C. A tight dressing could indicate swelling or a potential complication such as hematoma, which can compromise the airway and requires immediate assessment.

D. Dizziness upon standing is common and not as urgent as potential airway compromise.

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Correct Answer is A

Explanation

A. Checking the femoral site for hematoma formation is crucial as the client’s pain at the groin insertion site could indicate bleeding or hematoma formation, which requires immediate attention.

B. Evaluating the IV insertion site is important but does not directly address the pain at the groin site.

C. Stimulating the client to take deep breaths helps with respiratory function but does not address the potential complications at the groin site.

D. Assessing distal lower extremity capillary refill is useful for overall circulation but is not the immediate concern in this situation.

A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily. B. Avoid foods high in refined sugars. C. Eliminate the bedtime snack if heartburn develops after eating. D. Increase the percentage of protein in the diet if anemia develops. E. Choose complex carbohydrates that are high in fiber content.

Correct Answer is ["A","B","E"]

Explanation

A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying well-hydrated is important for overall health and can help manage blood sugar levels. Adequate fluid intake also supports kidney function and helps flush excess glucose from the body.

B. Avoid foods high in refined sugars: Foods high in refined sugars can cause rapid spikes in blood glucose levels. Avoiding these foods helps maintain better blood sugar control and prevents hyperglycemia.

C. Eliminate the bedtime snack if heartburn develops after eating: While avoiding bedtime snacks may help with heartburn, it is essential to manage blood sugar levels effectively. A bedtime snack may be necessary for maintaining stable glucose levels overnight, and alternatives or adjustments should be considered.

D. Increase the percentage of protein in the diet if anemia develops: While protein is important, increasing it solely to address anemia may not be the best approach. Anemia requires a balanced diet with adequate iron and other nutrients. Specific dietary recommendations should be tailored based on comprehensive assessment and guidance from a healthcare provider.

E. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, especially those high in fiber, are digested more slowly and have a more gradual effect on blood sugar levels. Fiber helps with glucose control and provides sustained energy.

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What statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is ["A","B","E"]

Explanation

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