NCLEX Question of the Day

December 25, 2025

Physiological Adaptation QID 1140

The nurse is caring for a client after a thyroidectomy. Which of the following assessment findings requires immediate action?

A:
Numbness and tingling around the incision
B:
Sore throat and hoarseness
C:
Stridor and dyspnea
D:
Slight edema at the surgical site

Explanation

Stridor (high-pitched breath sound) and dyspnea (difficulty breathing) after a thyroidectomy are signs of airway obstruction, possibly due to laryngeal edema or vocal cord paralysis. This is a medical emergency that requires immediate intervention, such as oxygen administration, airway management, and notification of the physician.

A sore throat and hoarseness are common after thyroid surgery due to the endotracheal tube used during anesthesia and usually resolve on their own. Numbness and tingling around the incision could be due to local anesthetic or nerve irritation and should be monitored but are not immediately threatening. Slight edema at the surgical site is normal and expected after surgery.

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