Chapter 45: Management of Clients with Thyroid and Parathyroid Disorders Exam Fully Solved.
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Course
NURS 1204
Institution
NURS 1204
1. The nurse performing assessment of a client notes that the thyroid gland is enlarged.
The nurse would chart this finding as
a. a goiter.
b. a fibroma.
c. Graves' disease.
d. hyperthyroidism. - Answer ANS: a
Thyroid abnormalities are basically of three types: (a) enlargement of the thy...
Chapter 45: Management of Clients with
Thyroid and Parathyroid Disorders Exam
Fully Solved.
1. The nurse performing assessment of a client notes that the thyroid gland is enlarged.
The nurse would chart this finding as
a. a goiter.
b. a fibroma.
c. Graves' disease.
d. hyperthyroidism. - Answer ANS: a
Thyroid abnormalities are basically of three types: (a) enlargement of the thyroid (goiter), (b)
hyperfunction, and (c) hypofunction.
DIF: Cognitive Level: Knowledge REF: Text Reference: 1191
TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
2. In a client admitted to the clinical unit with a sporadic goiter, the nurse might expect
to find
a. ingestion of a large amount of cabbage.
b. residence in the Great Lakes region.
c. a history of travel in a foreign country.
d. a large intake of aspirin. - Answer ANS: a
Sporadic goiter is not restricted to any geographic area. Major causes include ingestion of large amounts
of nutritional goitrogens, such as rutabagas, cabbages, soybeans, peanuts, peaches, peas, strawberries,
spinach, and radishes.
DIF: Cognitive Level: Comprehension REF: Text Reference: 1191
TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
, 3. The nurse should assess a client with a history of hypothyroidism for the metabolic
condition of
a. goiter.
b. Graves' disease.
c. Hashimoto's thyroiditis.
d. myxedema. - Answer ANS: d
Myxedema is a complication of hypothyroidism characterized by a general hypometabolic state.
DIF: Cognitive Level: Comprehension REF: Text Reference: 1193
TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
4. The nurse counseling a client in the prevention of goiter would suggest an increased
intake of
a. calcium.
b. iodine.
c. potassium.
d. protein. - Answer ANS: b
Health promotion practices to prevent goiter include ingestion of iodized salt and avoidance of
goitrogens.
DIF: Cognitive Level: Knowledge REF: Text Reference: 1193
TOP: Nursing Process Step: Intervention MSC: NCLEX: Physiological Integrity
5. In the assessment of a client with hypothyroidism, the nurse would include
a. serum calcium levels.
b. serum cholesterol.
c. serum potassium levels.
d. urine specific gravity. - Answer ANS: b
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