Answer to Question 1
B
Patients who do not respond well to antithyroid drug therapy, who are unable to take radioactive iodine, or who have greatly enlarged thyroid glands are candidates for a subtotal thyroidectomy. In the subtotal procedure, two thirds of the glandular mass is removed. The remaining portion of the gland is left intact so production and release of thyroid hormone can continue. There is no need for antithyroid drugs, and the operative risks are the same.
Answer to Question 2
D
Dehydration can cause loss of skin turgor and predisposes the skin to break down. Spoon-feeding and instructing about increased intake may only result in a power struggle with the resident.