The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?
Palpate gently without repeated attempts.
Not palpate the thyroid and just listen for a bruit.
Palpate firmly in order to feel the thyroid gland.
Continue to palpate the gland until it is felt for enlargement.
The Correct Answer is A
Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.
Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is ["B","C","D"]
Explanation
The Glasgow Coma Scale (GCS) is a tool used to assess a patient's level of consciousness following a traumatic brain injury. It is based on three categories: eye-opening, verbal response, and motor response. The tool scores a patient from 3 to 15, with 15 being the best possible score. A score of 8 or less indicates a severe brain injury. The tool does not assess thought process or cognitive ability.
Correct Answer is ["A","C","D","E"]
Explanation
NSAIDs, corticosteroids, topical analgesics, and TENS units are medications that may be used to help degenerative joint disorders. NSAIDs, such as ibuprofen, naproxen, and aspirin, help to reduce inflammation and relieve pain. Corticosteroids, such as prednisone, are powerful anti-inflammatory agents used for severe symptoms. Topical analgesics, such as creams or patches, can help relieve localized pain. TENS units use electrical stimulation to reduce pain and improve function. Aspirin is not a medication commonly used for degenerative joint disorders.
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