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NO.1 In client teaching, the nurse should emphasize that fetal damage occurs more frequently with
ingestion of drugs during:
A. Second trimester
B. Third trimester
C. Every trimester
D. First trimester
Answer: D

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Explanation:
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this
period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete
by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire
pregnancy.

NO.2 A client has returned to the unit from the recovery room after having a thyroidectomy. The
nurse knows that a major complication after a thyroidectomy is:
A. Hypercalcemia
B. Myxedema
C. Fistula formation
D. Respiratory obstruction
Answer: D

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Explanation:
(A)
Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal
compression from hemorrhage is a major complication after a thyroidectomy.
(B)
Hypocalcemia accompanied by tetany from accidental removal of one or more parathyroid glands is a
major complication, not hypercalcemia. (C) Fistula formation is not a major complication associated
with a thyroidectomy. It is a major complication with a laryngectomy.(D) Myxedema is
hypothyroidism that occurs in adults and is not a complication of a thyroidectomy. A thyroidectomy
client tends to develop thyroid storm, which is excess production of thyroid hormone.