Which statement made by a client after thyroidectomy would require further investigation by the nurse?

• A. I have a tingling feeling of my fingers.
• B. It hurts when I move my head.
• C. I feel pressure in my arm when you take my blood pressure.
• D. My legs are weak.

Answer: (A)

Post-thyroidectomy, the nurse must be alert for hypocalcemia caused by disruption or removal of the parathyroid glands, which regulate calcium through parathyroid hormone. A tingling sensation in the fingers signals early hypocalcemia, a potentially serious complication that requires prompt assessment of serum calcium and appropriate treatment (calcium supplementation and vitamin D as ordered). This symptom directly reflects the body's calcium balance and neuromuscular excitability.

The other reported sensations—neck movement pain, pressure in the arm with a blood pressure cuff, or leg weakness—can occur for various reasons after surgery but do not point specifically to hypocalcemia or parathyroid dysfunction.