NCLEX PN Practice Tests Practice Question
During report, the nurse is given all of the following information. Which client should the nurse go to first?
Correct Answer: D
Rationale: Option D is the priority because muscle spasms after a thyroidectomy can indicate hypocalcemia, a potentially life-threatening condition due to possible damage to the parathyroid glands. Immediate assessment and intervention are crucial.
Option A, a blood sugar of 200, is elevated but not immediately life-threatening. It requires monitoring and possible intervention but is less urgent than the risk of hypocalcemia.
Option B, pain at the operative site, is expected post-surgery and should be addressed, but it does not indicate a critical situation.
Option C, crackles on auscultation, may suggest a respiratory issue but is less urgent than the immediate risk posed by muscle spasms in a post-thyroidectomy patient.
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