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?

"I will take my prescribed thyroid hormone replacement medication as directed."

"I should avoid consuming foods that are rich in iodine."

"Regular follow-up appointments with my healthcare provider are important."

"I can use over-the-counter pain relievers to manage any discomfort."

Answer and Explanation

The Correct Answer is B

While iodine deficiency can contribute to goiter, it's important for clients to have an adequate intake of iodine. Avoiding iodine-rich foods is not recommended.

Incorrect choices:

a. Taking prescribed thyroid hormone replacement medication as directed is an important part of managing goiter.

c. Regular follow-up appointments with a healthcare provider are important for monitoring the progress of the goiter and thyroid function.

d. Using over-the-counter pain relievers to manage discomfort associated with goiter is a reasonable approach.

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Correct Answer is B

Explanation

Methimazole is an antithyroid medication commonly prescribed to manage hyperthyroidism and reduce the size of a goiter by decreasing thyroid hormone production.

Incorrect choices:

a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication and is not used to manage hyperthyroidism or goiter.

c. Insulin glargine (Lantus) is used to manage diabetes and is not related to managing hyperthyroidism or goiter.

d. Metformin (Glucophage) is used to manage diabetes and is not related to managing hyperthyroidism or goiter.

A. Increased urination B. Wheezing C. Increased appetite D. Swollen ankles

Correct Answer is B

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

The nurse is educating a client about the risk factors for developing a goiter. Which statement by the client indicates a correct understanding of the risk factors?

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 reviewing the medical history of a client with a goiter. Which condition is commonly associated with the development of a goiter?

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 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 goiter. Which symptom is commonly associated with a goiter that is causing compression of nearby structures?

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 goiter. Which assessment finding should the nurse prioritize in order to determine the client's thyroid function?