The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy. The patient complains of muscle cramps, and the nurse assesses a positive Chvostek sign
The nurse correctly interprets that these findings indicate which complication?
a. Imminent convulsions
b. Hypoparathyroidism
c. Hyperkalemia
d. Thyroid storm
B
Hypoparathyroidism results when the parathyroid glands are removed during a total thyroidect-omy. Chvostek sign (muscle irritability when the facial nerve is gently tapped) is consistent with hypocalcemia that occurs secondary to the removal of the parathyroid glands.
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The nurse is concerned about a client's fluid balance. Water is vital to health and normal cellular function, serving as: Standard Text: Select all that apply
1. A transporter. 2. A lubricant. 3. Fuel. 4. An insulator. 5. Means of maintaining body temperature.
The nurse is caring for a woman who had a right-sided mastectomy 2 years ago. What action by the nurse is most appropriate?
a. Place a sign above the bed: "No blood pressures on the right arm." b. Place a sign above the bed: "No continuous blood pressures on the right arm." c. Place a sign above the bed: "Blood pressures in legs only." d. No specific action is needed for this situation.
The nurse is reviewing the laboratory results for a patient with trauma. Based on this information, what care should the nurse plan for this patient?
1. fluids for distributive shock 2. nothing, because the results are normal 3. contact precautions 4. central venous catheter insertion
The nurse is evaluating arterial blood gas results. What condition can cause an increase in HCO3?
a. Renal failure b. Lactic acidosis c. Diabetic ketoacidosis d. Fluid loss from upper gastrointestinal tract