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Next position the client supine with the hips and knees bent. Observe for indications of shock, maintain a calm environment, and keep the client NPO in preparation for returning to surgery. Pathophysiology Hyperthyroidism: Dietary Teaching Following Thyroidectomy with Parathyroid Removal (RN QSEN - Patient-centeredCare, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 78)Eat foods rich in calcium12 almonds because they are the best source of calcium to recommend because they contain 36 milligrams of calciumremoval of the parathyroid glands which regulate calcium in the body can result in hypocalcemiaHypothyroidism: Expected Manifestation (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 79)Nervousness, irritability, hyperactivity, emotional lability, decreased attention spanWeakness, easy fatigability, exercise intoleranceHeat intoleranceWeight change (usually loss) and increased appetiteInsomnia and interrupted sleepFrequent stools and diarrheaMenstrual irregularities (amenorrhea/decreased menstrual flow)
Unexpected Response to TherapiesRenal Calculi: Identifying Nephrostomy Tube Complications (RN QSEN - Safety, Active Learning Template –SystemDisorder, RM AMS RN 10.0 Chp 61)The majority of calculi are composed of calcium phosphate or calcium oxalate, but they can contain other substances. Flank pain suggests calculi are located in the kidney or ureter, pain intensifies as the calculus moves through the ureter.Calculus can be removed by open surgery. A surgical incision is used for large or impacted calculior for calculi not removed by other approaches.Expected findings of renal calculi are; fever, diaphoresis, pallor, nausea/vomiting, tachycardia, tachypnea, increased blood pressure (pain), or decreased blood pressure.