Author Question: The nurse knows the most visible signs of Graves disease are goiter and exophthalmos. Exophthalmos ... (Read 103 times)

laurencescou · **on:** Jul 23, 2018

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 · **Reply #1 on:** Jul 23, 2018

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.