Which of these findings post-thyroidectomy should prompt immediate nursing intervention?

Study for the UWorld Endocrine Test. Dive into flashcards and multiple choice items with explanations and hints. Prepare yourself thoroughly!

Laryngeal stridor is a high-pitched wheezing sound caused by disrupted airflow, indicating potential airway obstruction or severe edema in the upper airway. After thyroidectomy, especially when the surgical procedure involves the manipulation of the thyroid gland and surrounding structures, there is a risk of complications such as swelling, bleeding, or damage to the structures that can compromise airway patency.

Immediate nursing intervention is critical when laryngeal stridor is present because it signifies a potentially life-threatening condition. The presence of stridor necessitates prompt assessment of the airway and may require interventions such as supplemental oxygen, airway management, or even advanced measures to ensure that the patient can breathe adequately.

While hoarseness can also be associated with thyroid surgery due to nearby nerve involvement, it is typically less urgent than stridor. Mild forgetfulness and pain rated at 5 out of 10, although concerning, do not indicate an acute respiratory emergency requiring immediate intervention. Therefore, recognizing laryngeal stridor as an urgent finding is crucial in post-thyroidectomy care.

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