The nurse is caring for a client with a goiter. Which potential complication should the nurse monitor for that can result from an untreated or inadequately managed goiter?
Bradycardia
Hypertension
Cardiac arrhythmias
Gastrointestinal bleeding
The Correct Answer is C
An untreated or inadequately managed goiter can lead to hormonal imbalances and excessive thyroid hormone production, which can result in cardiac arrhythmias.
Incorrect choices:
a. Bradycardia is not a typical complication of an untreated or inadequately managed goiter.
b. Hypertension is not a typical complication of an untreated or inadequately managed goiter.
d. Gastrointestinal bleeding is not a direct complication of an untreated or inadequately managed goiter.
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Related Questions
Correct Answer is D
Explanation
Fine-needle aspiration (FNA) biopsy involves using a thin needle to aspirate a tissue sample from the thyroid nodule. The tissue sample is then analyzed to determine if the nodule is benign or malignant, helping in the diagnosis of a goiter.
Incorrect choices:
a. Assessing blood clotting function is not the primary purpose of an FNA biopsy and is not directly related to goiter diagnosis.
b. Evaluating kidney function is not the primary purpose of an FNA biopsy and is not directly related to goiter diagnosis.
c. Determining blood glucose levels is not the primary purpose of an FNA biopsy and is not directly related to goiter diagnosis.
Correct Answer is A
Explanation
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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