A nurse is providing teaching to a client who has type 2 diabetes mellitus about the pathophysiology

Tachycardia and hypertension are correct. Tachycardia and hypertension are unexpected findings, which can indicate the occurrence of thyroid storm following removal of the thyroid gland, especially if the client was in a hyperthyroid state prior to the surgery. Thyrotoxic, or thyroid storm, is a life-threatening condition with a sudden onset that includes tachycardia, fever, sweating, restlessness, and tremors. Congestive heart failure and pulmonary edema can develop rapidly and lead to death.

Laryngeal stridor and hoarseness are correct. Laryngeal stridor and hoarseness are unexpected findings and can indicate swelling in the area of the surgery or damage to the laryngeal nerve. This should be reported to the provider before respiratory distress develops.

A positive Trousseau's sign is correct. A Positive Trousseau's sign is an indication of hypocalcemia, which is a complication of thyroid removal. This occurs when the parathyroid glands are also removed and regulation of serum calcium is impaired.

A respiratory rate of 16/min is incorrect. This is within the expected reference range.

A negative Chvostek's sign is incorrect. An expected finding is a positive Chvostek's sign (facial muscle spasm after tapping the facial nerve in front of the ear), which indicates hypocalcemia, a complication of thyroid removal. This occurs when the parathyroid glands are also removed and regulation of serum calcium is impaired.