Nurse Eve is caring for a client who had a thyroidectomy 12 hours ago for treatment of Grave's disease. The nurse would be most concerned if which of the following was observed?

Correct Answer: C

Rationale: The correct answer is C. Spontaneous wrist flexion can indicate damage to the recurrent laryngeal nerve, a complication of thyroidectomy that can lead to vocal cord paralysis and airway compromise. This is a critical concern post-thyroidectomy as it can affect the client's ability to breathe effectively. Choice A: Vital signs within normal limits, no immediate concern. Choice B: Supporting head and neck is a protective measure and is expected post-thyroidectomy. Choice D: Drowsiness and sore throat are common postoperative symptoms, not immediate concerns for airway compromise. In summary, choice C is the correct answer as it indicates a potential airway compromise, which is a priority post-thyroidectomy.

Correct Answer: C

Rationale: The correct answer is C: Bleeding from ears. This finding indicates a potential skull fracture or brain injury, which is a serious concern in a patient who has fallen from a height. Here's the rationale: 1) Reactive pupils (Choice A) are a normal response and indicate intact neurological function. 2) A depressed fontanel (Choice B) is a concern in infants but not in a 45-year-old adult. 3) An elevated temperature (Choice D) can be a sign of infection or inflammation, but in this case, the immediate concern is the potential head injury indicated by bleeding from the ears.

Correct Answer: D

Rationale: The correct answer is D: Alteration in the size, shape, and organization of differentiated cells. Dysplasia refers to abnormal changes in cells, where they appear different from normal cells in terms of size, shape, and organization. This is often seen as a precursor to cancer. Choice A is incorrect because it describes an undifferentiated tumor, not dysplasia. Choice B is incorrect as it describes hyperplasia, an increase in the number of normal cells. Choice C is incorrect as it describes metaplasia, where one type of differentiated cell is replaced by another.

Correct Answer: C

Rationale: Correct Answer: C Rationale: Applying dexamethasone cream in long, even, outward, and downward strokes in the direction of hair growth helps to spread the medication evenly, following the natural skin texture. This method ensures proper absorption and minimizes potential irritation. It also prevents damage to the hair follicles. Summary: A: Circular motion may not evenly distribute the cream, affecting absorption. B: Applying upward may not be suitable for dermatitis and could lead to irritation. D: Applying in the opposite direction of hair growth can cause discomfort and hinder absorption.

Correct Answer: D

Rationale: The correct answer is D: Heparin-associated thrombosis and thrombocytopenia (HATT). Following CABG surgery, patients are at risk for developing HATT due to the use of heparin as anticoagulant. The sudden decrease in platelet count from 230,000 to 5,000 suggests heparin-induced thrombocytopenia (HIT), a condition where the immune system activates platelets in response to heparin, leading to platelet destruction and thrombosis. Pancytopenia (choice A) is a reduction in all blood cell types, not specific to platelets. Idiopathic thrombocytopemic purpura (ITP) (choice B) is an autoimmune disorder characterized by low platelets, but not typically associated with recent surgery. Disseminated intravascular coagulation (DIC) (choice C) involves widespread clotting leading to platelet consumption, but the rapid decrease