Practice Quiz

NCLEX-PN

Category - Reduction of Risk

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The nurse is monitoring a client who had a thyroidectomy 12 hours earlier. Which of the following assessment findings requires an immediate notification to the RN or physician?
  1. The client demonstrated the following vital signs: blood pressure = 120/90; pulse rate = 75 beats per minute; respiratory rate = 16 breaths per minute; oral temperature of 99OF
  2. Flexing of wrist when the cuff is inflated
  3. Absence of facial muscle contraction after tapping the client’s right cheek
  4. Shortened ST segment and widened T-wave on electrocardiogram
Explanation
Answer: B - Flexing of wrist on cuff inflation is a sign of hypocalcemia, which commonly occurs after a thyroidectomy. The items in option A are normal findings. The ECG findings are found in clients with hypercalcemia.
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