The nurse is caring for a patient following a thyroidectomy. Which postoperative assessment activity is most important to detect the development of thyrotoxic crisis?
a. Monitor vital signs.
b. Monitor the surgical dressing.
c. Assess for confusion and delirium.
d. Assess hand grips and foot presses.
ANS: A
Symptoms of thyrotoxic crisis include tachycardia, high fever, hypertension (with eventual heart failure and hypotension), dehydration, restlessness, and delirium or coma; it is important to monitor vital signs to detect symptoms early. B. C. D. Monitoring the dressing and neurological status are good parts of routine care but do not help detect thyrotoxic crisis.
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