After a thyroidectomy, which finding requires immediate action from the nurse?

After a thyroidectomy, the presence of laryngeal stridor is a significant concern that requires immediate nursing intervention. Laryngeal stridor indicates airway obstruction or complications related to the surgical procedure, which could be due to swelling, hematoma formation, or unilateral vocal cord paralysis. These complications can lead to respiratory distress if not promptly addressed.

The complexity of airway management makes stridor a critical finding after thyroid surgery. It’s essential for the nurse to assess the patient’s breathing and airway patency, as this can escalate to a life-threatening situation if the airway becomes fully obstructed. Interventions might include administering supplemental oxygen, preparing for airway management, or notifying the healthcare team for further evaluation and treatment.

In contrast, while the other findings such as elevated heart rate, pain levels, and calcium levels may be concerning and require monitoring or treatment, they do not carry the same immediate threat to the patient's airway and overall safety, making laryngeal stridor a priority in this scenario.