NURS 4440 Adult Health Exam 3 Review

NURS 4440 Adult Health Exam 3 Review A nurse is caring for a client that is post-operative total thyroidectomy. Which of the following interventions should the nurse include in the plan? No hyperextension of the neck When developing a postoperative plan of care for a client after a total thyroidectomy, which intervention will the nurse include? Avoidance of extending the client’s neck/avoiding extending the patient’s neck 2. A nurse is caring for a client with hypothyroidism who is being treated with Methimazole (Tapazole). The nurse plans to monitor the client for what adverse reactions to this drug? Hepatotoxicity Birth defects (for pregnant woman) Lymph node enlargement 3. A client presents with elevations in triiodothyronine (T3) and thyroxine (T4) and with normal thyroid-stimulating hormone (TSH) levels. Which is the nurse's priority intervention? Monitor the apical pulse 4. Which dietary modification does the nurse provide for a client with hyperthyroidism? Increased calories, proteins, and carbohydrates 5. A client scheduled for a partial thyroidectomy asks the nurse why she is being given an iodine preparation before surgery. Which is the nurse's best response? “It will prevent excessive bleeding during surgery.” 6. Twelve hours after a total thyroidectomy, the client develops stridor. Which is the nurse’s priority intervention? Prepare for emergency tracheostomy and call the health care provider 7. On the second postoperative day after a subtotal thyroidectomy, the client tells the nurse that he feels numbness and tingling around his mouth. Which is the nurse’s priority intervention? Assess Chvostek’s sign 8. Which client statement alerts the nurse to the possibility of hypothyroidism? “I am always tired, even with 10 or 12 hours of sleep.”