hard · NCLEX-RN risk-reduction
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?
- Administer a prescribed nebulized saline treatment for throat irritation.
- Place the client in a supine position to facilitate neck assessment.
- Notify the rapid response team and prepare for emergency tracheostomy.
- Assess the client for Trousseau's sign to check for hypocalcemia.
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