Following a thyroidectomy, the client complains to the nurse that she is having leg spasms and cramps. These symptoms may indicate:
A)
postanesthesia reaction.
B)
damage to the cervical nerves.
C)
damage to the parathyroid glands during surgery.
D)
potassium depletion.
C
Explanation:
A)
During a thyroidectomy, the parathyroid glands (which lie under the thyroid gland and regulate calcium balance) can be accidentally damaged or removed. The resulting low serum calcium could lead to tetany, reflected by the leg spasm and cramps. Anesthesia or cervical nerve damage would not cause the spasms. Hypokalemia may manifest as leg cramps, but option B is more related to the surgery.
Analysis
Assessment
Safety: Management of Care
B)
During a thyroidectomy, the parathyroid glands (which lie under the thyroid gland and regulate calcium balance) can be accidentally damaged or removed. The resulting low serum calcium could lead to tetany, reflected by the leg spasm and cramps. Anesthesia or cervical nerve damage would not cause the spasms. Hypokalemia may manifest as leg cramps, but option B is more related to the surgery.
Analysis
Assessment
Safety: Management of Care
C)
During a thyroidectomy, the parathyroid glands (which lie under the thyroid gland and regulate calcium balance) can be accidentally damaged or removed. The resulting low serum calcium could lead to tetany, reflected by the leg spasm and cramps. Anesthesia or cervical nerve damage would not cause the spasms. Hypokalemia may manifest as leg cramps, but option B is more related to the surgery.
Analysis
Assessment
Safety: Management of Care
D)
During a thyroidectomy, the parathyroid glands (which lie under the thyroid gland and regulate calcium balance) can be accidentally damaged or removed. The resulting low serum calcium could lead to tetany, reflected by the leg spasm and cramps. Anesthesia or cervical nerve damage would not cause the spasms. Hypokalemia may manifest as leg cramps, but option B is more related to the surgery.
Analysis
Assessment
Safety: Management of Care
You might also like to view...
Which finding would concern the nurse assessing vital signs on a 2-year-old?
a. Temperature of 37.1 ° C (98.8 ° F) b. Pulse at 100 beats/min c. Respirations of 36 breaths/min d. Blood pressure of 90/60 mm Hg
The nurse working with children and adolescents who talk about suicide intentions is aware that those at highest risk of completing the suicide are those who:
a. have a single caregiver who psychologically abuses them b. suffer from depression or some mood disorder c. describe a plan to use a firearm and have access to a firearm and ammunition d. are talking about saving up some of their pills and taking them all at once
The nurse designs a teaching plan for the client with chronic pancreatitis who receives pancrelipase (Pancreaze). What will the best plan by the nurse include as it relates to the rationale for the client to receive this drug?
1. "These enzymes replace what your ineffective pancreas cannot make." 2. "These enzymes will help promote healing of your pancreas." 3. "These enzymes promote digestion of starches and fats." 4. "These enzymes will help digest all of the food you eat."
In addition to multiple antibiotics, what else would the nurse anticipate will be added to the medication regimen to treat H. pylori?
A. Antacids B. PPI C. Vitamin E D. Bismuth compounds