بعد ٢٤ ساعة من استئصال الغدة الدرقية الكامل، تشتكي المريضة من تنميل حول الفم وأطراف الأصابع. أي علامة تتوقع الممرضة أن تجدها؟

Twenty-four hours after total thyroidectomy, the client reports tingling around her mouth and fingertips. Which finding does the nurse expect?

1. Carpal spasm on BP-cuff inflation (Trousseau)
2. Bulging eyes with lid lag on looking down
3. Hypoactive reflexes with muscle weakness
4. Hand tremor with heat intolerance

Answer: A) Carpal spasm on BP-cuff inflation (Trousseau). Tingling after thyroidectomy suggests hypocalcaemia from parathyroid injury; signs include carpal spasm with cuff inflation (Trousseau), facial twitch on tapping (Chvostek) and hyperreflexia. Bulging eyes and tremor belong to hyperthyroidism, and hyporeflexia is the opposite of what is expected.