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ATI Adult Medical Surgical proctor (from kgar's folder)

Terms in this set (326)

Tachycardia and hypertension are correct. Tachycardia and hypertension are unexpected findings and may indicate the occurrence of thyroid storm, which can occur after removal of the thyroid gland, especially if the client was in a hyperthyroid state prior to the surgery. Thyrotoxic, or thyroid, storm is a life-threatening condition that develops in cases of thyrotoxicosis (hyperthyroidism) or following acute stress, such as trauma or infection. Onset is sudden with a tachycardia, fever, sweating, restlessness, and tremors. Congestive heart failure and pulmonary edema can develop rapidly and lead to death.

A respiratory rate of 16/min is incorrect. This is an expected finding and is within the normal reference range.

A negative Chvostek's sign is incorrect. This is an expected finding. A Positive Chvostek's sign (facial muscle spasm after tapping the facial nerve in front of the ear) would be an indication of hypocalcemia, a complication of thyroid removal. This occurs when the parathyroid glands are also removed and regulation of serum calcium is impaired.

Laryngeal stridor and a hoarse voice are correct. Laryngeal stridor and a hoarse voice are unexpected findings and may be an indication of swelling in the area of the surgery or damage to the laryngeal nerve. This should be reported to the provider before respiratory distress develops.

A positive Trousseau's sign is correct. A Positive Trousseau's sign is an indication of hypocalcemia, a complication of thyroid removal. This occurs when the parathyroid glands are also removed and regulation of serum calcium is impaired.