Final answer:
The client is at greatest risk for hypocalcemia following a total thyroidectomy. The nurse should monitor for signs of hypocalcemia as well as complications associated with any pre-existing conditions like Grave's disease.
Step-by-step explanation:
The client who is one day postoperative following a total thyroidectomy is at greatest risk for hypocalcemia and resulting tetany because the parathyroid glands may have been inadvertently removed or damaged during surgery. These glands regulate the calcium level in the body. Symptoms of hypocalcemia may include tingling of the lips, fingers, and toes, muscle twitches or spasms, and irritability or depression. It is important for the nurse to monitor the client for these signs, as well as closely observe calcium levels in the blood.
Patients with a history of Grave's disease, characterized by overproduction of thyroid hormones due to LATS and LATS protector, could be at risk for a sudden drop in hormone levels post-surgery (thyroid storm). This abrupt change can lead to complications and requires careful monitoring by the healthcare team. The surgeon, nurse, and anesthesia professional should have reviewed aloud the key concerns for recovery and care, which will include watching for these potential postoperative complications.