Author Question: The nurse is educating a patient with a simple goiter. Which statement indicates that the patient ... (Read 109 times)

colton · **on:** Jun 25, 2018

The nurse is educating a patient with a simple goiter. Which statement indicates that the patient needs additional instruction?

a. The lump on my throat is my enlarged thyroid.
b. Treatment stops enlargement of the goi-ter.
c. I am aware this goiter could develop into cancer.
d. I'm glad my treatment will make this thing go away.

Question 2

The nurse is caring for a patient who is being treated for extensive burns. The nurse notes the presence of coffee-ground material in the Salem sump catheter. The nurse correctly recognizes which factor as the likely cause?

a. Esophagitis
b. Perforated gastric ulcer
c. Gastric irritation from the Salem sump tube
d. A physiologic stress ulcer

softEldritch · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

D
Treatment usually arrests the growth of the goiter but usually does not diminish the size of the growth unless diagnosis is made early in the disease before growth has become excessive.

Answer to Question 2

D
Prolonged physiologic stress produces what is known as a physiologic stress ulcer, which is be-lieved to be the result of unrelieved stimulation of the vagus nerves and decreased perfusion to the stomach. A stress ulcer is pathologically and clinically different from a chronic peptic ulcer. It is more acute and more likely to produce hemorrhage. Perforation occurs occasionally, and pain is rare. Stress ulcers are a hazard for patients who are severely ill and in intensive care units for prolonged periods. Patients with multiple trauma, burns, or multisystem disorders are subject to physiologic stress ulcers, which may produce blood that has been in contact with gastric juices.