Which assessment should the nurse perform if she notes a palpable ...

[crobinson2013]

Which assessment should the nurse perform if she notes a palpable thyroid gland?
 
  a. Illuminate the thyroid gland for the presence of fluid.
  b. Auscultate the thyroid gland for bruits.
  c. Percuss the thyroid gland for mass size.
  d. Measure the thyroid gland to assess change.

Question 2

An 85-year-old patient is brought to the emergency department with lethargy and hypotension. When the nurse assesses the patient's tongue, she notes that it appears dry and furry. This finding suggests:
 
  a. Fungal infection
  b. Dehydration
  c. Allergy
  d. Iron deficiency

[InfiniteSteez]

Answer to Question 1

B
Normally, the thyroid gland is smooth, firm, and nontender. It is often nonpalpable. If the thyroid gland is palpable, the nurse should auscultate it for bruits. It is not necessary to measure or illuminate the thyroid gland. The thyroid gland should not be percussed.

Answer to Question 2

B
A dry, furry tongue is associated with dehydration. A black, hairy tongue is characteristic of a fungal infection. Absence of papillae, reddened mucosa, and ulcerations may indicate allergy. Patients who have a deficiency of iron may have a smooth, red tongue.

[crobinson2013]

TYSM

[daiying98]

Excellent