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Author Question: The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy. The ... (Read 115 times)

DyllonKazuo

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on: Jun 25, 2018
The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy. The patient complains of muscle cramps, and the nurse assesses a positive Chvostek sign.
 
  The nurse correctly interprets that these findings indicate which complication?
  a. Imminent convulsions
  b. Hypoparathyroidism
  c. Hyperkalemia
  d. Thyroid storm

Question 2

The nurse instructs the patient on the weight reduction drug Orlistat (Xenical, Alli) that he may experience which side effect(s)? (select all that apply.)
 
  a. Diarrhea
  b. Hypoglycemia
  c. Abdominal cramping
  d. Constipation
  e. Nausea


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Athena23

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Reply #1 on: Jun 25, 2018
Answer to Question 1

B
Hypoparathyroidism results when the parathyroid glands are removed during a total thyroidect-omy. Chvostek sign (muscle irritability when the facial nerve is gently tapped) is consistent with hypocalcemia that occurs secondary to the removal of the parathyroid glands.

Answer to Question 2

A, C, E
Medications that suppress appetite or block fat absorption may be used on a short-term basis. Or-listat (Xenical, Alli) inhibits lipase, causing fats to remain partially undigested and unabsorbed. Gastrointestinal side effects of orlistat include diarrhea (sometimes uncontrolled), abdominal cramping, and nausea.


DyllonKazuo

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

mochi09

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Reply 3 on: Yesterday
Wow, this really help

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