The nurse has taught a client about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

"I will be put to sleep during this procedure."

"The doctor will be able to remove the cancer through the needle."

"After the biopsy I will know for sure if I have cancer and what stage it is."

"The doctor will make a small incision and remove a piece of the tumor."

Answer and Explanation

The Correct Answer is D

A. A needle biopsy of the thyroid is typically done under local anesthesia, not general anesthesia. The client would be awake during the procedure, although they may be given a sedative to help them relax.
B. A needle biopsy is used to obtain a sample of tissue for testing, not to remove the cancer. The procedure helps diagnose the presence of cancer, but further treatment like surgery would be necessary to remove any cancer.
C. While a needle biopsy can confirm the presence of cancer, it does not provide information about the stage of cancer. Additional imaging and tests would be required to determine the stage.
D. Although the procedure typically involves inserting a needle through the skin (often without making a large incision), the biopsy involves removing a small sample of tissue for examination. This is the correct understanding of a needle biopsy.

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Correct Answer is A

Explanation

A. It is important for the client with diabetes to continue taking their insulin as prescribed, even if they are unable to eat. When the body is under stress (e.g., due to illness), blood sugar levels can rise, and insulin is still necessary to manage glucose levels. Skipping insulin could lead to hyperglycemia or diabetic ketoacidosis (DKA), which can be life-threatening. The nurse should encourage the client to continue insulin therapy and consider alternative ways to manage nausea (e.g., antiemetics).
B. While it is important for the client to monitor their blood glucose, checking it twice a day may not be sufficient during illness. The client should check their blood glucose more frequently (e.g., every 4 hours) to avoid the risk of hyperglycemia or DKA, especially if they are not eating or drinking regularly.
C. When a person with diabetes is ill and unable to eat, it is important to ensure they stay hydrated and maintain glucose levels. Clear liquids such as soda or fruit juice may help with hydration and provide a quick source of sugar if the blood glucose drops too low, though they should be consumed in moderation.
D. It is essential for the client to stay hydrated, especially if they are vomiting. Dehydration can worsen blood sugar control and lead to further complications. The client should be encouraged to drink small, frequent sips of water or electrolyte solutions to stay hydrated.

A. Low serum thyroxine (T4) level B. Decreased serum thyroid stimulating hormone (TSH) C. Tachycardia or fine hand tremor D. Elevated serum thyroid stimulating hormone (TSH) E. Elevated serum thyroxine (T4)

Correct Answer is C

Explanation

A. Low serum thyroxine (T4) level In hyperthyroidism, the serum thyroxine (T4) level is typically elevated due to excessive production of thyroid hormones.
B. Decreased serum thyroid stimulating hormone (TSH) In hyperthyroidism, the body produces excess thyroid hormones (T3 and T4), which negatively feedback to the pituitary gland and result in decreased TSH levels. This is a key diagnostic finding.
C. Tachycardia or fine hand tremor Hyperthyroidism often causes symptoms like tachycardia (increased heart rate) and a fine hand tremor due to the overstimulation of the body's metabolism and sympathetic nervous system.
D. Elevated serum thyroid stimulating hormone (TSH) In hyperthyroidism, the TSH level is typically low due to negative feedback from the excess thyroid hormones.
E. Elevated serum thyroxine (T4) In hyperthyroidism, the serum thyroxine (T4) level is elevated because the thyroid gland is producing too much thyroid hormone.

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The nurse has taught a client about a needle biopsy procedure, of the thyroid gland, to diagnose thyroid cancer. Which of the following statements by the client would indicate the teaching was successful?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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