The nurse is providing preoperative teaching to a patient scheduled for a subtotal thyroidectomy. What should the nurse include in these instructions?
1. Report sensations of tingling in toes, fingers, or lips.
2. Report signs of constipation.
3. Report the improvement of hoarseness.
4. Take aspirin before the surgery.
Correct Answer: 1
Hypoparathyroidism may result from manipulation of the parathyroid glands during a subtotal thyroidectomy. The lack of circulating PTH causes hypocalcemia. Neuromuscular manifestations that result from hypocalcemia include numbness and tingling around the mouth and in the fingertips. Constipation is associated with hypercalcemia, not hypocalcemia. The improvement of hoarseness would be desired. Antiplatelet agents, such as aspirin, should be withheld prior to surgery.
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