Hard

A patient develops tingling around the mouth and carpopedal spasm several hours after thyroid surgery. Which action should the nurse take first?

Correct answer: A. Report the findings and prepare prescribed calcium replacement

  • A. Report the findings and prepare prescribed calcium replacement
  • B. Encourage walking to improve calcium absorption
  • C. Offer potassium-rich foods and repeat observations later
  • D. Restrict oral fluids to prevent further electrolyte loss

Explanation

Perioral tingling and carpopedal spasm suggest acute hypocalcemia, which can progress to laryngospasm and seizures. The findings require prompt reporting and preparation for prescribed calcium treatment, not delayed observation.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Nutrition, Fluids and Electrolytes

Coverage includes nutrients and balanced diets, therapeutic feeding, enteral and parenteral nutrition, intake and output, dehydration, fluid overload and fluid balance calculations. Questions also examine sodium, potassium, calcium and chloride disturbances, their signs and nursing care, while distinguishing enteral feeding through the gastrointestinal tract from parenteral nutrition.

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