The nurse is caring for an adolescent who has just returned to his room after a thyroidectomy. Which ...

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1. Not a sign of complications from a thyroidectomy
2. It is normal for a post-operative child to have lethargy. Because the surgery involves the neck, facial edema and acute neck pain are also noted post-operatively. An emergent situation would include feelings of tightness in the throat, hoarseness, and stridor. There symptoms would indicate an inability to breath, leading to impaired gas exchange and respiratory distress.
3. The face is not associated with the surgery.
4. The pain can be a sign, but not an emergent complication.