The nurse is caring for a patient scheduled for a thyroidectomy. Which instruction should be included in the preoperative care?
lodine will be administered in the 2 weeks before surgery to increase the level of thyroid hormone being released into the bloodstream.
Salt should be avoided during the 2 weeks before surgery.
Medications will be administered to increase the vascularity of the gland before
Medications will be administered in the 2 weeks before surgery to reduce the vascularity of the gland.
The Correct Answer is D
A. Iodine will be administered in the 2 weeks before surgery to increase the level of thyroid hormone being released into the bloodstream: Iodine is used to reduce thyroid hormone production and decrease vascularity of the thyroid gland, not to increase it before surgery.
B. Salt should be avoided during the 2 weeks before surgery: There is no requirement to avoid salt before a thyroidectomy, and it is not part of the standard preoperative care for this procedure.
C. Medications will be administered to increase the vascularity of the gland before surgery: Increased vascularity in the thyroid gland can complicate surgery, so medications are used to decrease vascularity, not increase it.
D. Medications will be administered in the 2 weeks before surgery to reduce the vascularity of the gland: Iodine and other medications are often used to reduce the vascularity and size of the thyroid gland before surgery, which helps minimize the risk of excessive bleeding during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "This test detects antithyroid antibodies in your blood.": While antithyroid antibodies are measured in some thyroid disorders (like Hashimoto's thyroiditis), the TSH test specifically measures the level of thyroid-stimulating hormone produced by the pituitary gland.
B. "This test measures the amount of thyroid hormone that attaches to a protein in your blood.": TSH levels do not measure thyroid hormone bound to proteins; rather, TSH is a hormone produced by the pituitary gland that regulates the production of thyroid hormones.
C. "This test measures the absorption of iodine and how it relates to the thyroid gland.": The TSH test does not measure iodine absorption. A radioactive iodine uptake test is used for assessing iodine absorption by the thyroid gland.
D. "The test determines whether your thyroid gland is overactive, appropriately active, or underactive.": The TSH test is used to assess thyroid function. The test helps determine whether the thyroid is working appropriately or if there is a dysfunction.
Correct Answer is D
Explanation
A. Gestational, requiring therapy for a very short time: Oral hypoglycemic agents are typically not recommended for gestational diabetes, as insulin is usually the preferred treatment for managing blood glucose levels during pregnancy.
B. Type 1, not stable with insulin administration only: Type 1 diabetes is characterized by insulin deficiency. Oral hypoglycemic agents are designed for type 2 diabetes, where the body still produces insulin but has insulin resistance.
C. Type 1 and type 2, not controlled by diet and exercise: Oral hypoglycemic agents are typically not used for type 1 diabetes. These medications are primarily for type 2 diabetes, when diet and exercise alone are insufficient to manage blood sugar.
D. Type 2, not controlled with diet and exercise: Oral hypoglycemic agents are used in the treatment of type 2 diabetes when diet and exercise alone are insufficient to manage blood glucose levels. These medications help improve insulin sensitivity, stimulate insulin production, or decrease glucose production in the liver.
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