A nurse is assessing a client 6 hours after total thyroidectomy. Which findings require immediate provider notification? Select all that apply.

Select All That Apply

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1 Positive Chvostek and Trousseau signs with circumoral numbness 2 Mild incisional discomfort relieved by ordered acetaminophen 3 Visible neck swelling extending the dressing with stridor 4 Sudden temperature 39.8 C with HR 152 and agitation 5 Inability to make any sound or whisper after extubation

Explanation

Postoperative thyroidectomy emergencies: (1) Neck hematoma compressing the airway — visible swelling and stridor demand bedside opening of the wound to release blood. (2) Hypocalcemic tetany from inadvertent parathyroid injury — Chvostek/Trousseau and perioral numbness need IV calcium gluconate. (3) Bilateral recurrent laryngeal nerve injury produces complete aphonia and risk of airway obstruction; unilateral injury causes hoarseness. (4) Thyroid storm rarely occurs in well-prepared patients but high fever and tachycardia mandate emergent treatment. Mild incisional pain controlled by ordered analgesia is expected.

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A nurse is assessing a client 6 hours after total thyroidectomy. Which findings require immediate provider notification? Select all that apply.

Select All That Apply

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