The nurse is caring for a client with a goiter. Which assessment finding should the nurse prioritize in order to determine the client's thyroid function?
Blood pressure measurement
Visual acuity test
Deep tendon reflexes
Thyroid function blood tests
The Correct Answer is D
Thyroid function blood tests, such as measuring levels of thyroid-stimulating hormone (TSH), thyroxine (T4), and triiodothyronine (T3), are the most accurate indicators of thyroid function.
Incorrect choices:
a. Blood pressure measurement is not directly related to determining thyroid function.
b. Visual acuity test is not directly related to determining thyroid function.
c. Deep tendon reflexes are not directly related to determining thyroid function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Iodine deficiency can lead to hypothyroidism, which may manifest as dry skin due to decreased thyroid hormone levels.
Incorrect choices:
a. Excessive sweating is not typically associated with iodine deficiency and goiter.
b. Weight gain is a common clinical manifestation of hypothyroidism but is not specific to iodine deficiency.
d. Exophthalmos (bulging eyes) is associated with hyperthyroidism (Graves' disease) and is not typically seen in iodine deficiency-related goiter.
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