The nurse is assessing the client's neck. Which finding is ...

[cartlidgeashley]

The nurse is assessing the client's neck. Which finding is considered an abnormality?
 
  1. The client's carotid arteries are visibly pulsating.
  2. The neck is symmetrical.
  3. The tracheal cartilage does not move when the client swallows.
  4. The thyroid has no palpable nodules.

Question 2

The nurse notes the client's thyroid gland is enlarged during the physical assessment.
 
  While reviewing the client's history, the nurse notes that the client has a history of a goiter. Based on this information, which question is the priority during the focused interview?
  1. Where do you purchase your medication?
  2. What type of salt do you use in your diet?
  3. Do you work around chemicals?
  4. How long have you had this problem?

[6ana001]

Answer to Question 1

Correct Answer: 3
The tracheal cartilage should move when the client swallows. It is normal to note that a client's carotid arteries visibly pulse during inspection of the neck. The neck should be smooth and symmetrical. The thyroid should be free of any nodules and this would be noted during palpation.

Answer to Question 2

Correct Answer: 2
Thyroid disease is common where iodine is limited and deficient amounts of iodine can cause a goiter to develop. Use of iodized salt in the U.S. has generally eliminated iodine deficiencies. Although the other questions are important to gain general information, the nurse needs to assess whether the client is indeed using iodized salt, especially regarding the client's past history and present symptomatology.

[cartlidgeashley]

Correct answers!

[6ana001]

Great! Please up vote