The nurse is assessing a client with a goiter. Which symptom is commonly associated with a goiter that is causing compression of nearby structures?
Weight gain
Constipation
Difficulty swallowing
Heat intolerance
The Correct Answer is C
A goiter that causes compression of nearby structures, such as the esophagus, can lead to difficulty swallowing (dysphagia).
Incorrect choices:
a. Weight gain is a symptom of hypothyroidism but not specifically related to goiter compression.
b. Constipation is a symptom of hypothyroidism but not specifically related to goiter compression.
d. Heat intolerance is a symptom of hyperthyroidism but not specifically related to goiter compression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Thyroid-stimulating hormone (TSH) is a hormone produced by the pituitary gland that stimulates the thyroid gland to produce thyroid hormones. An elevated TSH level indicates hypothyroidism, while a low TSH level indicates hyperthyroidism, both of which can be associated with a goiter.
Incorrect choices:
a. Complete blood count (CBC) assesses various components of blood but is not directly related to thyroid function or goiter diagnosis.
b. Blood glucose level is used to diagnose diabetes mellitus and is not directly related to goiter diagnosis.
d. Serum creatinine level is used to assess kidney function and is not directly related to thyroid function or goiter diagnosis.
Correct Answer is D
Explanation
The thyroid gland is located in the front of the neck, just below the Adam's apple. Palpation of this area can help assess for the presence of a goiter.
Incorrect choices:
a. Palpation over the sternum is not relevant to assessing a goiter.
b. Palpation behind the ears is not relevant to assessing a goiter.
c. Palpation over the parotid glands is not relevant to assessing a goiter.
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