A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: The correct answer is C. A heart rate of 110/min is elevated and may indicate hypocalcemia, a potential complication following a thyroidectomy. Elevated heart rate can be a sign of hypocalcemia due to the close relationship between calcium levels and cardiac function. Option A, serum calcium level of 8 mg/dL, is within the normal range (8.5-10.5 mg/dL) and would not be a cause for concern post-thyroidectomy. Option B, urine output of 60 mL/hr, is within the normal range for urine output and not typically a priority finding post-thyroidectomy. Option D, a temperature of 37.5°C (99.5°F), is slightly elevated but not a critical finding post-thyroidectomy unless accompanied by other symptoms.

Correct Answer: C

Rationale: In this scenario, option C is the correct answer. The client statement "I will avoid foods high in vitamin K while taking this medication" indicates an understanding of the teaching because warfarin is a medication that works by inhibiting Vitamin K-dependent clotting factors. Consuming foods high in Vitamin K can interfere with the effectiveness of warfarin, leading to potential complications like blood clot formation or excessive bleeding. Option A is incorrect because avoiding leafy green vegetables is not necessary; rather, the key is to maintain a consistent intake of Vitamin K-containing foods to keep the medication's effects stable. Option B, increasing intake of calcium-rich foods, is irrelevant to the teaching about warfarin and dietary considerations. Option D, taking the medication at bedtime to avoid dizziness, is also incorrect as dizziness is not a common side effect of warfarin that is mitigated by timing of administration. From an educational perspective, this question highlights the importance of understanding the interactions between medications and diet. Nurses must educate clients on how certain foods can impact the effectiveness of medications like warfarin, emphasizing the need for consistency in Vitamin K intake to ensure therapeutic outcomes. This knowledge is crucial for safe medication management and optimal patient care.

Correct Answer: B

Rationale: The correct answer is B. The nonstress test takes about 10 minutes and evaluates fetal heart rate in response to fetal movement. Choice A is incorrect because fasting is not required for a nonstress test. Choice C is incorrect as a full bladder is not necessary for this test. Choice D is incorrect as blood glucose checking is not typically part of a nonstress test.

Correct Answer: B

Rationale: The correct answer is B. Clients with Crohn's disease require routine colonoscopies to monitor disease progression and complications. This helps healthcare providers assess the status of the disease and make informed treatment decisions. Choice A is incorrect because while fiber may be beneficial for some digestive conditions, it can exacerbate symptoms in Crohn's disease. Choice C is incorrect as whole grains can be a good source of nutrients unless they individually trigger symptoms in the client. Choice D is also incorrect since a low-fat diet is not a specific requirement for managing Crohn's disease.

Correct Answer: D

Rationale: A temperature of 38.8°C (101.8°F) is above the normal range and may indicate infection, which should be reported. Elevated temperature postoperatively can be a sign of infection, especially in the early postoperative period. Serosanguineous drainage on the surgical dressing is expected in the early postoperative period. A heart rate of 88/min and a blood pressure of 118/76 mm Hg are within normal ranges and do not necessarily indicate a complication postoperatively.