hard · NCLEX-RN Reduction of Risk Potential

A client who underwent a thyroidectomy 6 hours ago has a blood pressure of 132/84 mmHg, heart rate 88/min, and respiratory rate 18/min. The client reports a 'tight' feeling in the neck and the nurse notes new-onset high-pitched inspiratory sounds.

Which intervention is the priority?

  1. Administer a prescribed nebulized saline treatment for throat irritation.
  2. Place the client in a supine position to facilitate neck assessment.
  3. Notify the rapid response team and prepare for emergency tracheostomy.
  4. Assess the client for Trousseau's sign to check for hypocalcemia.

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