Which technique can the nurse use to facilitate assessment of the thyroid gland?
Have the patient slowly turn the head from side to side.
Have the patient tip the head back and cough twice.
Have the patient tip the head forward to the side and swallow
Gently palpate from underneath the jaw to behind the ear.
The Correct Answer is C
A. Have the patient slowly turn the head from side to side is not the correct technique for assessing the thyroid gland. It is used to assess the range of motion of the neck.
B. Have the patient tip the head back and cough twice does not facilitate thyroid assessment. It is unrelated to thyroid examination.
C. Have the patient tip the head forward to the side and swallow is the correct technique. This allows the nurse to palpate the thyroid gland as the patient swallows, making it easier to assess for any enlargement or irregularities.
D. Gently palpate from underneath the jaw to behind the ear is not the correct method for assessing the thyroid. The thyroid gland is located lower in the neck and should be palpated from the front, not from under the jaw to behind the ear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Standard solutions may apply to some health problems, but patient care often requires individualized approaches based on each patient's unique circumstances.
B. Caring for patients requires significant experience, knowledge, and clinical judgment. It involves understanding and responding to each patient's needs, which varies greatly.
C. Patients are diverse in their experiences, health conditions, and backgrounds, so they are not all the same. Each one requires personalized care.
D. Each patient has a unique background, which affects their health, lifestyle, preferences, and care needs. Recognizing and respecting these differences is essential to providing effective care.
Correct Answer is B
Explanation
A. Encouraging active participation is essential for effective learning but is more appropriate after assessing the client’s current knowledge.
B. Determining what the client knows about constipation is the first step in the teaching process. It allows the nurse to assess the client’s baseline understanding and tailor the education accordingly.
C. Identifying shared goals is an important step in the planning phase but follows the assessment of the client’s knowledge and needs.
D. Selecting the instructional method comes later, once the nurse has assessed the client’s knowledge and learning preferences.
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