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Question ⬇

Physiological Integrity

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90. Following a thyroidectomy, a nurse assesses for complications related to damage or removal of the parathyroid. The nurse should assess for:

Choices

Choices ⬆ ⬇

1. Hypertension.

2. Numbness around the mouth.

3. Polyuria.

4. Muscle weakness.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Know the effect of the parathyroid on calcium—hypocalcemia.

Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Complications from Surgical Procedures and Health Alterations

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Rationale ⬆

Physiological Integrity

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2.  

Answer 1 is incorrect because the parathyroid is responsible for calcium absorption. High calcium levels raise BP, but a postoperative complication is hypocalcemia. Answer 2 is correct because the parathyroid is responsible for calcium absorption. Numbness around the mouth is an early sign of hypocalcemia. Answer 3 is incorrect because the parathyroid is responsible for calcium absorption. Alteration in urine output is not characteristic of this disorder. Answer 4 is incorrect because the parathyroid is responsible for calcium absorption. Muscle spasms, stiffness, and tetany are signs of hypocalcemia, not muscle weakness.

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