question archive 12- The nurse is caring for a client that had a thyroidectomy 24 hours ago
12- The nurse is caring for a client that had a thyroidectomy 24 hours ago
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12- The nurse is caring for a client that had a thyroidectomy 24 hours ago. The client reports experiencing numbness and tingling and tingling and tingling of the face. Which intervention should the nurse implement?
a. Open and prepare the tracheostomy kit.
b. Inspect the neck for increase in swelling.
c. Monitor for presence of Chvostek's sign.
d. Assess lung sound for laryngeal stridor.
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The answer is C .The nurse should monitor the presence of Chvostek's sign.
This is because numbness and tingling on the face are manifestations of hypocalcemia which would progress to cause seizure activity .The nurse should assess the client further by testing for Chvostek's sign and Trousseau's sign. Then the nurse should notify the provider. The other choices do not address the emergency situation.
