The nurse in the postanesthesia care area is concerned that a patient recovering from a subtotal thyroidectomy is experiencing postoperative complications. What findings led the nurse to come to this conclusion?
Select all that apply.
1. hoarse voice
2. restlessness and irritability
3. blood pressure 92/56 mmHg
4. heart rate 116 beats per minute
5. high-pitched, squeaky sound with breathing
Correct Answer: 3, 4, 5
A postoperative complication is hemorrhage, which can manifest as a dropping blood pressure and rapid heart rate. Stridor, a high-pitched, squeaky sound, is heard in acute airway obstructions. Hoarseness is expected immediately after a subtotal thyroidectomy. It is too soon to suspect laryngeal nerve damage in this patient. Restlessness and irritability are vague symptoms that could result from the anesthesia, the surgical procedure, or recovery. This is not considered a postoperative complication.
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