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The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse. "Why don't the people in the United States get goiters as often? Which statement by the nurse is the best response?

A.

"Iodized salt helps prevent the development of goiters in the United States."

B.

"It is because of the screening techniques used in the United States."

C.

"The medications available in the United States decrease goiters."

D.

"It is a generic predisposition rare in North Americans."

Answer and Explanation

The Correct Answer is A

A. "Iodized salt helps prevent the development of goiters in the United States.": Iodine deficiency is a primary cause of goiter, and in the United States, the widespread use of iodized salt has significantly reduced the incidence of goiters.

B. "It is because of the screening techniques used in the United States.": While screening for thyroid disorders is important, it is not the primary reason for the lower incidence of goiters. The main reason is the availability of iodine through iodized salt.

C. "The medications available in the United States decrease goiters.": Medications like thyroid hormone replacements can help manage thyroid disorders, but they do not directly prevent goiters. The reduction in goiters is mainly due to dietary iodine availability.

D. "It is a genetic predisposition rare in North Americans.": While genetic factors can play a role in thyroid disorders, iodine deficiency is the primary cause of goiters worldwide. Iodine deficiency is less common in the United States due to iodized salt, not genetic predisposition.


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Related Questions

Correct Answer is B

Explanation

A. 60: An onset of action of 60 minutes is characteristic of some types of short-acting insulin (like Regular insulin) but not rapid-acting insulins such as Humalog (Lispro). Rapid-acting insulins are designed to work much faster to cover post-meal glucose excursions.

B. 15: Humalog (insulin lispro) is a rapid-acting insulin analog, with a quick onset of action. Its effects begin within 5 to 15 minutes after subcutaneous injection, making it ideal for administration just before or immediately after a meal to manage the rise in blood glucose.

C. 45: An onset of 45 minutes would be slower than what is expected for a rapid-acting insulin like Humalog. This timeframe is closer to the onset of Regular insulin, which requires administration 30-45 minutes before a meal.

D. 30: While 30 minutes is a common instruction for administering Regular insulin before a meal, it is not the typical onset time for rapid-acting insulins like Humalog (Lispro). Humalog's action begins much sooner, allowing for greater flexibility in meal timing.

Correct Answer is C

Explanation

A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.

B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.

C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.

D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.

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