The nurse knows the most visible signs of Graves disease are ...

[laurencescou]

The nurse knows the most visible signs of Graves disease are goiter and exophthalmos. Exophthalmos is:
 
  1. excessive heat production.
  2. skin thickening with plaques.
  3. hypertrophy of the thyroid gland.
  4. outward bulging of the eyes.

Question 2

To detect malignancy of a thyroid nodule, the nurse would prepare the client for:
 
  1. thyroid scanning.
  2. ultrasound.
  3. needle biopsy.
  4. x-ray.

[elizabethrperez]

Answer to Question 1

Correct Answer: 4
Rationale 1: Exophthalmos is not excessive heat production.
Rationale 2: Exophthalmos is not thickening skin with plaques.
Rationale 3: Exophthalmos is not hypertrophy of the thyroid gland.
Rationale 4: Exophthalmos is the outward bulging of the eyes.
Global Rationale: Exophthalmos is the outward bulging of the eyes. The remaining options do not describe exophthalmos.

Answer to Question 2

Correct Answer: 3
Rationale 1: This is not the test of choice to diagnose a malignancy of the thyroid.
Rationale 2: This is not the test of choice to diagnose a malignancy of the thyroid.
Rationale 3: Needle biopsy is the diagnostic tool of choice for detecting thyroid nodule malignancy.
Rationale 4: This is not the test of choice to diagnose a malignancy of the thyroid.
Global Rationale: Needle biopsy is the definitive test for detecting thyroid nodule malignancy. Scanning, ultrasound and x-ray can reveal presence of a mass, but do not discriminate benign from malignant.

[laurencescou]

Excellent

[phuda]

Gracias!