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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 D

Explanation

Hyperthyroidism, which can be associated with a goiter, often leads to a rapid heartbeat (tachycardia) as a result of increased thyroid hormone levels.

Incorrect choices:

a. Weight gain is not typically associated with hyperthyroidism and goiter.

b. Cold intolerance is not typically associated with hyperthyroidism and goiter.

c. Fatigue may be present in hyperthyroidism, but it is not as specific as a rapid heartbeat.

A. Antihypertensives B. Antibiotics C. Anticoagulants D. Antithyroid medications

Correct Answer is D

Explanation

Antithyroid medications, such as propylthiouracil (PTU) and methimazole, can interfere with thyroid hormone synthesis and contribute to the development of goiter.

Incorrect choices:

a. Antihypertensives are not known to directly interfere with thyroid hormone synthesis or contribute to goiter development.

b. Antibiotics are not known to directly interfere with thyroid hormone synthesis or contribute to goiter development.

c. Anticoagulants are not known to directly interfere with thyroid hormone synthesis or contribute to goiter development.

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

Correct Answer is D

Explanation

The nurse is assessing a client with a history of taking certain medications. Which class of medications is known to interfere with thyroid hormone synthesis and may contribute to the development of goiter?

Correct Answer is D

Explanation

The nurse is providing education to a client with a goiter. Which self-care measure should the nurse recommend to the client to alleviate discomfort and promote thyroid health?

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 caring for a client with a goiter and is reviewing the client's medical history. Which type of goiter is associated with Hashimoto's thyroiditis?

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 providing education to a client with a goiter. Which dietary element is important for preventing goiter development?

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?

The nurse is assessing a client with a suspected goiter. Which finding would the nurse expect to observe upon physical examination?

The nurse is assisting with a fine-needle aspiration (FNA) biopsy for a client with a thyroid nodule and suspected goiter. What is the primary purpose of an FNA biopsy in the diagnosis of a goiter?