A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?

A. Moderate serosanguineous drainage: Moderate serosanguineous drainage is normal within the first few hours following a total thyroidectomy. It typically decreases as the wound heals, and it does not require immediate intervention unless it becomes excessive or persistent. B. Hoarseness: Hoarseness can occur after a thyroidectomy due to irritation or injury to the vocal cords during surgery. This is common but should be monitored. It does not necessarily require urgent reporting unless it worsens or is associated with difficulty breathing. C. Muscle twitching: Muscle twitching, especially around the face, hands, or feet, can be a sign of hypocalcemia, which may occur after a thyroidectomy due to possible damage to the parathyroid glands. This requires immediate reporting to prevent further complications. D. Neck stiffness: Neck stiffness is a common complaint after thyroid surgery due to muscle strain or positioning during surgery. It is usually not an emergency but should be monitored for worsening symptoms or pain.