Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN? Select the "2" findings that require immediate follow-up.

A. Dizziness: Dizziness may be due to anesthesia recovery, fluid shifts, or low blood pressure but is not specifically linked to complications following thyroid and parathyroid removal. While it should be monitored, it does not require immediate intervention unless accompanied by other symptoms. B. Hand tremors: Hand tremors can be an early indicator of hypocalcemia, a serious complication after parathyroid gland removal. The parathyroids regulate calcium, and their removal can cause calcium levels to drop quickly, resulting in neuromuscular irritability, which must be addressed promptly. C. Earache: Earache is not typically associated with thyroid or parathyroid surgery and is not an expected or urgent postoperative concern. It could be referred pain or unrelated, and although it may be documented, it doesn’t require immediate follow-up. D. Foot cramps: Foot cramps are another classic sign of hypocalcemia following parathyroid gland removal. They result from increased neuromuscular excitability due to low calcium levels and can progress to tetany if untreated. Immediate evaluation and calcium replacement may be necessary. E. Increased appetite: An increase in appetite is not a common complication of thyroid or parathyroid surgery and does not indicate an urgent issue. It is not typically associated with calcium imbalance or other immediate post-op concerns and does not require urgent follow-up.