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The nurse is performing an assessment on a client with a goiter. Which symptom is commonly associated with a large goiter pressing on the trachea?

Increased urination

Wheezing

Increased appetite

Swollen ankles

Answer and Explanation

The Correct Answer is B

A large goiter pressing on the trachea can cause wheezing or difficulty breathing due to the obstruction of airflow.

Incorrect choices:

a. Increased urination is not typically associated with a large goiter pressing on the trachea.

c. Increased appetite is not typically associated with a large goiter pressing on the trachea.

d. Swollen ankles are not typically associated with a large goiter pressing on the trachea.

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Correct Answer is A

Explanation

A simple goiter, also known as a nontoxic goiter, is often caused by iodine deficiency. It is characterized by the enlargement of the thyroid gland without specific nodules or hormonal dysfunction.

Incorrect choices:

b. A toxic goiter is characterized by the overproduction of thyroid hormones and may or may not be associated with iodine deficiency.

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

d. A multinodular goiter may or may not be associated with iodine deficiency and is characterized by the presence of multiple nodules within the thyroid gland.

A. Increased body temperature B. Weight gain C. Difficulty swallowing D. Excessive thirst

Correct Answer is C

Explanation

Enlargement of the thyroid gland in a goiter can lead to pressure on the esophagus and trachea, causing difficulty swallowing and sometimes difficulty breathing.

Incorrect choices:

a. Increased body temperature is not a typical clinical manifestation of a goiter.

b. Weight gain is not a typical clinical manifestation of a goiter.

d. Excessive thirst is not a typical clinical manifestation of a goiter.

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The nurse is performing an assessment on a client with a goiter. Which symptom is commonly associated with a large goiter pressing on the trachea?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a group of clients about the different types of goiters. Which type of goiter is associated with iodine deficiency?

Correct Answer is A

Explanation

The nurse is assessing a client with a goiter. Which clinical manifestation is commonly associated with a goiter?

Correct Answer is C

Explanation

The nurse is providing education to a client with a goiter. Which statement by the client indicates a need for further clarification regarding the management of goiter?

The nurse is assisting with a radioactive iodine uptake (RAIU) test for a client with a suspected goiter. What is the primary purpose of the RAIU test in the diagnosis of a goiter?

The nurse is reviewing the diagnostic process for a client with a suspected goiter. Which imaging technique is commonly used to visualize the size, shape, and characteristics of the thyroid gland?

The nurse is reviewing the diagnostic evaluation for a client suspected of having a goiter. Which laboratory test is commonly used to assess thyroid function and determine if the goiter is associated with hyperthyroidism or hypothyroidism?

The nurse is assessing a client with a goiter. Which clinical manifestation is commonly associated with an overactive thyroid gland (hyperthyroidism) that may accompany a goiter?

The nurse is caring for a client with a goiter. Which medication is commonly prescribed to manage hyperthyroidism and reduce the size of a goiter?

The nurse is conducting a health assessment for a client with a suspected goiter. Which area should the nurse palpate to assess for a goiter?

The nurse is assessing a client with a goiter. Which clinical manifestation is commonly associated with a goiter that is caused by iodine deficiency?