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 C

Explanation

A. An OGTT is not directly related to the symptoms of hypoglycemia experienced in the early morning.

B. An insulin pump is a possible treatment but is not the immediate change needed for managing hypoglycemia.

C. Diaphoresis and shakiness in the morning suggest possible nocturnal hypoglycemia, which may require a decrease in the evening dose of NPH insulin to prevent such episodes.

D. Testing glucose levels at multiple times can be part of managing diabetes but does not address the immediate need for adjustment in insulin dosing.

A. Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C) B. Start a peripheral IV C. Chest x-ray D. NPO E. Start oxygen 3 L/minute via nasal cannula F. Sputum culture G. Place the client on a cardiorespiratory monitor H. Run 0.9% sodium chloride IV infusion at 150 mL/hour

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

Explanation

A. Acetaminophen 650 mg PO every 6 hours for temperature greater than 101.0° F (38.3° C): While managing fever is important, it is not as immediate a priority as ensuring the client's breathing and hydration.

B. Start a peripheral IV: Establishing a peripheral IV line is crucial for administering medications and fluids. This is essential for the client's hydration and potential intravenous medication needs.

C. Chest x-ray: Although a chest x-ray is important for diagnosing the cause of the symptoms, it can be done after the client’s immediate needs for oxygen and IV access are addressed.

D. NPO: Keeping the client NPO is necessary, but it doesn't require immediate action compared to oxygenation and IV access.

E. Start oxygen 3 L/minute via nasal cannula: The client is experiencing difficulty breathing, so providing supplemental oxygen is a priority to ensure adequate oxygenation and alleviate respiratory distress.

F. Sputum culture: Obtaining a sputum culture is important for diagnosis, but it can wait until after the client is stabilized with oxygen and IV access.

G. Place the client on a cardiorespiratory monitor: Monitoring the client's cardiac and respiratory status is important, but ensuring oxygenation and IV access takes precedence.

H. Run 0.9% sodium chloride IV infusion at 150 mL/hour: While starting the IV infusion is important, it follows the establishment of the IV line and oxygen administration.

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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

The nurse is caring for a client with type 1 diabetes mellitus who reports experiencing diaphoresis and shakiness in the early morning hours. The nurse should expect which change in the client's treatment plan?

Correct Answer is C

Explanation

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

Explanation

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