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?

Encouraging deep breathing and coughing exercises

Limiting fluid intake to prevent fluid overload

Administering high doses of aspirin for pain management

Encouraging the client to flex the neck frequently

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

Applying warm compresses to the neck can help alleviate discomfort, improve circulation, and promote thyroid health.

Incorrect choices:

a. Applying ice packs to the neck is not recommended as it may worsen discomfort and is not related to promoting thyroid health.

b. Massaging the thyroid gland is not recommended as it can potentially irritate the thyroid and is not related to promoting thyroid health.

c. Performing neck stretches is not recommended as it may worsen discomfort and is not related to promoting thyroid health.

A. Simple goiter B. Toxic goiter C. Colloid goiter D. Endemic goiter

Correct Answer is B

Explanation

A toxic goiter, also known as a toxic nodular goiter or toxic adenoma, is caused by the overproduction of thyroid hormones, leading to hyperthyroidism.

Incorrect choices:

a. A simple goiter is an enlargement of the thyroid gland without any specific hormonal dysfunction.

c. A colloid goiter is characterized by the accumulation of colloid within thyroid follicles and is not specifically related to thyroid hormone overproduction.

d. An endemic goiter is caused by iodine deficiency and is not specifically related to thyroid hormone overproduction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with a goiter. Which self-care measure should the nurse recommend to the client to alleviate discomfort and promote thyroid health?

Correct Answer is D

Explanation

The nurse is educating a client about the different types of goiters. Which type of goiter is caused by an overproduction of thyroid hormones?

Correct Answer is B

Explanation

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

The nurse is providing education to a client with a goiter. Which dietary element is important for preventing goiter development?

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?

The nurse is providing education to a client about the potential causes of goiter. Which factor may contribute to the development of a goiter in individuals with a genetic predisposition?

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 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 assisting with a fine-needle aspiration (FNA) biopsy for a client with a thyroid nodule and suspected goiter. What is the primary purpose of an FNA biopsy in the diagnosis of a goiter?

The nurse is caring for a client with a large goiter. Which complication should the nurse monitor for that can occur due to compression of the trachea and airway obstruction?