Examkin

Soru

Zorluk: OrtaReduction of Risk Potential

A nurse is assessing a client who is 4 hours postoperative following a total thyroidectomy. Which of the following assessment findings indicate a potential life-threatening complication and require immediate intervention? Select all that apply.

  1. High-pitched, harsh respiratory sound during inspirationCevap
  2. Frequent, spontaneous swallowing motions while restingCevap
  3. Tingling and numbness around the lips and fingertipsCevap
  4. D
    Scant amount of serosanguineous drainage on the incisional dressing
  5. E
    Client report of a localized sore throat when swallowing liquids

Cevap

The findings that require immediate intervention are the high-pitched respiratory sound, frequent swallowing motions, and tingling around the lips and fingertips.
The correct options represent life-threatening complications of a total thyroidectomy. A high-pitched, harsh respiratory sound (stridor) indicates airway obstruction. Frequent swallowing suggests internal bleeding and hematoma formation. Tingling around the lips and fingers is an early sign of hypocalcemia (due to parathyroid damage), which can lead to life-threatening tetany.

Adım Adım Çözüm

1
Analyze the client's postoperative timeframe and surgical procedure.
The client had a total thyroidectomy 4 hours ago, placing them at high risk for airway compromise, hemorrhage, and hypocalcemia.
Identifying procedure-specific risks is essential for focused assessment.
2
Evaluate each assessment finding against expected versus abnormal postoperative outcomes.
Stridor, frequent swallowing, and circumoral tingling are abnormal and dangerous. Scant drainage and a sore throat are expected.
Differentiating normal physiological responses from complications guides clinical judgment.
3
Prioritize the findings that require immediate intervention based on physiological risks.
The respiratory sound, swallowing motions, and tingling represent immediate threats to the airway and physiological stability.
Prioritization ensures life-threatening complications are addressed first.

Anahtar Kavram

Postoperative complications of thyroidectomy include airway obstruction (stridor), hemorrhage (frequent swallowing), and hypocalcemia (tingling/tetany).
Bu soruyu puanla

Konular

Reduction of Risk Potential

Bu konudan daha fazla soru