After a thyroidectomy, which nursing actions should be included in the client's plan of care?

After a thyroidectomy, assessing for signs of hypocalcemia is crucial because the surgery can inadvertently affect the parathyroid glands, which are located near the thyroid. If these glands are damaged or removed during the procedure, it can lead to a decrease in parathyroid hormone levels, resulting in lowered calcium levels in the blood, or hypocalcemia.

Signs of hypocalcemia may include symptoms such as tingling or numbness in the fingers, muscle cramps, and tetany (involuntary muscle contractions). Monitoring calcium levels postoperatively is essential to prevent complications and to ensure that the client receives prompt intervention if signs of hypocalcemia are noted.

Effective nursing care after a thyroidectomy involves vigilant observation for any neurological or muscular symptoms that could indicate changes in calcium levels. This proactive approach helps in maintaining the client's safety and promoting recovery following surgery.