Davidson Is 8 Hours Post Partial Thyroidectomy for Grave's Disease

Multiple Choice

Davidson is 8 hours post partial thyroidectomy for Grave's disease. What is the best documentation by the nurse of evaluation outcome criteria for the nursing diagnosis risk for effective airway clearance?

A) Dressing is clean dry and intact, pain minimal and controlled, alert, and oriented
B) Vital signs stable; client supports neck with hand during change of position
C) No tracheal stridor, speaks clearly, and denies numbness or tingling
D) Balanced intake and output, vital signs stable, and alert and oriented