Nokea
A nurse prepares to palpate a clients thyroid gland. Which action should the nurse take when performing this assessment?
- A. Stand in front of the client instead of behind the client.
- B. Ask the client to swallow after palpating the thyroid.
- C. Palpate the right lobe with the nurses left hand.
- D. Place the client in a sitting position with the chin tucked down.
Correct Answer: D
Rationale: The correct technique for thyroid palpation involves the nurse standing behind the client, with the client in a sitting position and chin tucked down to relax the neck muscles, facilitating palpation of the thyroid gland.
You may also like to solve these questions
A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones should the nurse expect to be affected by this condition? (Select all that apply.)
- A. Thyroid-stimulating hormone
- B. Vasopressin
- C. Follicle-stimulating hormone
- D. Calcitonin
- E. Growth hormone
Correct Answer: A,C,E
Rationale: The anterior pituitary gland secretes thyroid-stimulating hormone, follicle-stimulating hormone, and growth hormone, which would be affected by hypofunction. Vasopressin and calcitonin are secreted by the posterior pituitary and thyroid gland, respectively.
A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
- A. Potassium
- B. Sodium
- C. Calcium
- D. Magnesium
Correct Answer: C
Rationale: Parafollicular cells produce thyrocalcitonin (calcitonin), which regulates serum calcium levels. Excessive calcitonin can lead to hypocalcemia by inhibiting bone resorption and increasing calcium excretion.
A nurse cares for clients with hormone disorders. Which are common key features of hormones? (Select all that apply.)
- A. Hormones may travel long distances to get to their target tissues.
- B. Continued hormone activity requires continued production and secretion.
- C. Control of hormone activity is caused by negative feedback mechanisms.
- D. Most hormones are stored in the target tissues for use later.
- E. Most hormones cause target tissues to change activities by changing gene activity.
Correct Answer: A,B,C
Rationale: Hormones travel to target tissues, require continuous production for activity, and are regulated by negative feedback. They are not stored in target tissues, nor do they typically alter gene activity.
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergic status nor a significant medical history. Which action should the nurse include in this clients plan of care?
- A. Initiate Airborne Precautions.
- B. Offer fluids every hour or two.
- C. Administer broad-spectrum antibiotics.
- D. Palpate the clients thyroid gland.
Correct Answer: B
Rationale: Decreased antidiuretic hormone (ADH) production is a normal age-related change, leading to increased urine output and risk of dehydration. Offering fluids regularly helps prevent dehydration in older adults.
A nurse teaches an older adult with a decreased production of estrogen. Which statement should the nurse include in this clients teaching to decrease injury?
- A. Drink at least 2 liters of fluids each day.
- B. Walk daily as a weight-bearing exercise.
- C. Bathe your perineal area twice a day.
- D. You should check your blood glucose before meals.
Correct Answer: B
Rationale: Decreased estrogen in older adults increases the risk of osteoporosis and fractures. Weight-bearing exercises like walking help maintain bone density and reduce injury risk.