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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Storing zolpidem at room temperature is appropriate, but it is not the primary educational point.
B. Zolpidem should be taken on an empty stomach to ensure optimal absorption, not with a meal.
C. Crushing zolpidem is not recommended as it can alter the drug's release and effectiveness.
D. Taking zolpidem before bedtime is correct as it is a sleep aid and should be taken when the client can go to sleep shortly after taking it.
Correct Answer is D
Explanation
A. Assisting with giving sips of water could pose a choking risk if the client's swallowing ability is impaired.
B. Using a straw could increase the risk of aspiration for a client with swallowing difficulties.
C. Obtaining thickening powder might be necessary, but first the nurse must assess the client's ability to swallow safely.
D. Assessing the client's swallowing reflex is the priority to ensure safe swallowing and prevent aspiration.
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