The nurse is assessing a client with a large, diffuse, painless swelling in the neck. Which type of goiter is characterized by these findings?

Simple goiter

Toxic goiter

Colloid goiter

Endemic goiter

Answer and Explanation

The Correct Answer is A

A simple goiter is characterized by a diffuse enlargement of the thyroid gland that is typically painless and not associated with specific nodules or hormonal dysfunction.

Incorrect choices:

b. A toxic goiter is characterized by the overproduction of thyroid hormones and may or may not present with a large, diffuse swelling.

c. A colloid goiter is characterized by the accumulation of colloid within thyroid follicles and does not specifically refer to the size or painlessness of the swelling.

d. An endemic goiter is caused by iodine deficiency and is not specifically characterized by a large, diffuse, painless swelling.

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Correct Answer is A

Explanation

Encouraging deep breathing and coughing exercises helps prevent respiratory complications such as pneumonia after thyroidectomy.

Incorrect choices:

b. Limiting fluid intake is not necessary and does not prevent complications after thyroidectomy.

c. Administering high doses of aspirin is not appropriate for pain management after thyroidectomy and can lead to bleeding complications.

d. Encouraging the client to flex the neck frequently is not recommended after thyroidectomy as it may strain the surgical site and potentially lead to complications.

A. Autoimmune thyroid disease B. Excessive thyroid hormone production C. Radiation exposure D. Iodine deficiency

Correct Answer is D

Explanation

Iodine deficiency is a common cause of goiter, especially in regions where there is insufficient dietary intake of iodine, leading to inadequate production of thyroid hormones.

Incorrect choices:

a. Autoimmune thyroid disease, such as Hashimoto's thyroiditis, is not specifically related to iodine deficiency and is characterized by immune system attack on the thyroid gland.

b. Excessive thyroid hormone production is associated with conditions such as toxic goiter or Graves' disease and is not directly related to iodine deficiency.

c. Radiation exposure can damage the thyroid gland and lead to goiter, but it is not directly related to iodine deficiency.

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The nurse is assessing a client with a large, diffuse, painless swelling in the neck. Which type of goiter is characterized by these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a goiter. Which nursing intervention is important to include in the plan of care to prevent potential complications after thyroidectomy?

Correct Answer is A

Explanation

The nurse is educating a group of clients about the different causes of goiter. Which cause of goiter is related to a deficiency of dietary iodine?

Correct Answer is D

Explanation

The nurse is assessing a client with a goiter. Which clinical manifestation is commonly associated with a goiter?

The nurse is assessing a client with a goiter. Which clinical manifestation is commonly associated with a goiter that is caused by iodine deficiency?

The nurse is caring for a client with a goiter. Which medication is commonly prescribed to manage hyperthyroidism and reduce the size of a goiter?

The nurse is assessing a client with a history of taking certain medications. Which class of medications is known to interfere with thyroid hormone synthesis and may contribute to the development of goiter?

The nurse is reviewing the medical records of several clients with goiters. Which type of goiter is characterized by multiple nodules within the thyroid gland?

The nurse is reviewing the medical history of a client with a goiter. Which condition is commonly associated with the development of a goiter?

The nurse is caring for a client with a goiter. Which surgical procedure involves the removal of the entire thyroid gland and is considered a definitive treatment for goiter?

The nurse is assessing a client with a suspected goiter. Which finding would the nurse expect to observe upon physical examination?