A client 12 hours after thyroidectomy reports tingling aroun… | MyMerci
Postsurgical ComplicationsROR
Question
A client 12 hours after thyroidectomy reports tingling around the mouth and muscle cramps. Which complication should the nurse suspect?
1Hyperglycemia.
2Fluid volume overload.
3Hypocalcemia from parathyroid injury.✓ Correct answer
4Expected postoperative anxiety only.
Explanation
Perioral tingling and muscle cramps after thyroidectomy suggest hypocalcemia, which can occur if the parathyroid glands are affected. This can progress to tetany or airway risk. The findings should not be dismissed as anxiety only.
In-depth explanation
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Post-thyroidectomy hypocalcemia.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical scenario
Clinical Practice Guide For Post-thyroidectomy hypocalcemia, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
Caution Do not choose an action from one isolated cue when the full scenario changes priority or safety.
Key concepts
Thyroidectomy — Surgical removal of part or all of the thyroid gland.
Hypocalcemia — A low calcium level that can cause tingling, cramps, or tetany.
Parathyroid Glands — Small glands that help regulate calcium balance.