The nursing assessment of a postoperative patient, especially after thyroid surgery, should prioritize potential life-threatening complications. The presence of numbness or tingling sensations, particularly in the face or hands, can illuminate urgent concerns like hypocalcemia or tetany, requiring rapid intervention. Assessing for signs of respiratory distress is also critical, as swelling can lead to airway compromise.
Other priorities include monitoring for signs of infection, such as fever, which could result from surgical site infection or systemic issues. The nurse should continuously assess the incision site for signs of hemorrhage or hematoma. Evaluating the patient's ability to speak may also provide clues to recurrent laryngeal nerve damage, which can happen during thyroid surgery.
- Closely monitor vital signs
- Check calcium levels
- Observe neck swelling or discomfort
- Assess pain and administer analgesics as prescribed
- Monitor for signs of infection or bleeding
- Ensure understanding and adherence to discharge instructions