The patient has an enlarged thyroid gland and is currently ...

[DyllonKazuo]

The patient has an enlarged thyroid gland and is currently admitted to a medical nursing unit. Which of the following is accurate regarding the procedure for a thyroid assessment for this patient?
 
  a. Deep palpation should be used anterior and posterior.
  b. Swallowing sips of water causes the isthmus of the thyroid gland to rise.
  c. The posterior approach is used with the fingers placed over the trachea.
  d. The diaphragm of the stethoscope is best for auscultation of bruits.

Question 2

The nurse knows that older adults are more prone to fluid volume alterations for which of the following reasons?
 
  a. They have decreased thirst sensation.
  b. Their kidneys have an increase in glomerular filtration.
  c. They are at risk for increased excretion of medications.
  d. They have decreased stomach-emptying time.

[epscape]

Answer to Question 1

B

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A Light, gentle palpation is needed to feel any abnormalities.
B During assessment of the thyroid gland, the patient holds a cup of water and takes a sip to swallow once instructed by the nurse. As the patient swallows, the isthmus of the thyroid gland rises. The nurse should feel whether it is enlarged. Normally the thyroid gland is small, smooth, and free of nodules.
C For the posterior approach, both of the nurse's hands are placed around the neck, with two fingers of each hand on the sides of the trachea just beneath the cricoid cartilage.
D The bell of the stethoscope is best for auscultation of bruits.

Answer to Question 2

A
Older adults have a decreased thirst sensation.
Older adults have a decrease in glomerular filtration.
Older adults are at risk for decreased excretion of medications, which can lead to imbalances.
Older adults do have decreased stomach-emptying time, but that is not a factor relevant to fluid volume alteration.

[DyllonKazuo]

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[epscape]

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