On the first postoperative day following a total thyroidectomy, which finding(s) would lead the nurse to suspect that the patient may be developing a thyroid storm? (select all that apply.)

a. Temperature of 101.8° F
b. Pulse of 58 beats/min
c. Brief attention span
d. Apprehension and restlessness
e. Respiratory rate of 12 breaths/min


A, C, D
Rising temperature, a brief attention span, and apprehension with restlessness would indicate a developing thyroid storm. Increasing pulse and respirations are other manifestations of thyroid storm.

Nursing

You might also like to view...

The nurse is preparing to insert an IV in a client's cephalic vein. When the vein is access with a venous catheter, the nurse can feel a pop upon penetrating the:

1. Tunica media 2. Tunica adventitia 3. Tunica intima 4. Valves

Nursing

When assessing a local infusion pump site, the nurse notes that which of the following requires an intervention?

a. The device is labeled, indicating that an anesthetic is being used. b. The catheter connections are loose. c. Surgical dressings are dry and intact. d. No blood backup is present in the tubing.

Nursing

Which is a common side effect of short-term corticosteroid therapy?

a. Fever b. Hypertension c. Weight loss d. Increased appetite

Nursing

When researchers discussed cheating in school as compared with cheating in the clinical area with students, a specific trend was noted. What did researchers discover most often when discussing cheating with students?

A) Students did not see cheating in school as a concern. B) Students believed the faculty didn't care as long as the assignments were completed. C) Students viewed clinical cheating as probably unethical and should be stopped. D) Students viewed cheating in varying degrees of seriousness.

Nursing