A 5-year-old child is 3 hours postoperative after a total thyroidectomy. The nurse notes hand spasms as the blood pressure cuff is inflated, and the child reports numbness around her lips
After notifying the health-care provider, which action by the nurse takes priority?
A.
Bring the crash cart to the room.
B.
Call the laboratory to have blood work drawn.
C.
Prepare to administer oral vitamin D.
D.
Raise the head of the child's bed.
ANS: A
This child is demonstrating manifestations of critical hypocalcemia, a known complication of thyroid surgery. The nurse ensures emergency equipment is available, as the child may progress to laryngospasm and be unable to breathe. Alternatively, the nurse stays with the patient while a coworker brings the crash cart. Blood work will be done but is not the priority. In a child with a potential airway problem developing, oral meds and nutrition are not given. Raising the head of the bed may help with comfort, but it is not the priority.
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