Exam (elaborations) NUR 3330 ROGER CLINTON MED-SURG Room 306 (ALL EVALUATIONS ANSWERED CORRECTLY)

Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a “pea-size lump on the center of his neck”. His Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. Roger knows that it will take three days after surgery to determine if he has cancer, but does not understand the implications resulting from a thyroidectomy. (Lifetime thyroid replacement medication.) You responded correctly to 4 out of 6 evaluations: Category Your response Educational Needs Increased acuity Patient does not understand implications of thyroidectomy Fall Risk Increased acuity No indication at this time Health Change Increased acuity Patient is experiencing a dry cough, and vocal Pain Level Increased acuity No indication of pain at this time. Psychological Needs Normal acuity No indication at this time Neurological Normal acuity No indication of increased neurological status You correctly diagnosed 8 out of 8 options: Physiological