The nurse assessing a 1 day postoperative subtotal thyroidectomy patient notes that the color is poor, the pulse and respirations are rapid, and the patient feels warm to the touch. The pa-tient says that she feels frightened
The nurse's initial Implementation should be: 1. tell her there is nothing to be afraid of and stay to calm her.
2. ask her if she would like pain medication.
3. call the charge nurse; these are signs of thyroid storm.
4. get a tracheostomy set at bedside.
3
Call the charge nurse, these are the signs and symptoms of excessive stimulation caused by elevated thyroid hormones, and the patient needs immediate care.
PTS: 1 DIF: Cognitive Level: Application REF: 988
OBJ: 3 TOP: Thyroidectomy
KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity
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