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?
Hypothyroidism
Hyperthyroidism
Dysphagia
Dyspnea
The Correct Answer is D
Compression of the trachea by a large goiter can lead to difficulty breathing (dyspnea) due to airway obstruction. This is an important complication to monitor for in clients with goiter.
Incorrect choices:
a. Hypothyroidism is not a direct complication of tracheal compression and airway obstruction caused by a goiter.
b. Hyperthyroidism is not a direct complication of tracheal compression and airway obstruction caused by a goiter.
c. Dysphagia, or difficulty swallowing, can be a complication of goiter but is not directly related to tracheal compression and airway obstruction.
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Related Questions
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.
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.
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