The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?
Palpate gently without repeated attempts.
Not palpate the thyroid and just listen for a bruit.
Palpate firmly in order to feel the thyroid gland.
Continue to palpate the gland until it is felt for enlargement.
The Correct Answer is A
Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.
Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Through the application of extreme cold, the tissue is destroyed. Cryosurgery is a procedure that uses extreme cold to destroy abnormal tissues, including tumors and growths. Extreme cold is applied directly to the affected area, and this damages the cells and causes them to die. The destroyed tissue is then gradually absorbed by the body's natural healing processes. Therefore, the correct response to the client's question is that cryosurgery destroys the tissue through the application of extreme cold.
B is not the correct answer because laser surgery uses heat to destroy the tissue, not extreme cold.
C is not the correct answer because cryosurgery does not necessarily remove the entire growth.
D is not the correct answer because cryosurgery freezes the growth and destroys it, not freezes it for removal at a later time.
Correct Answer is A
Explanation
Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.
Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.
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