A nurse is approached by a neighbor who has a neck growth that appears to be a goiter. What should the nurse do?
a. Advise the neighbor to switch to iodized salt when cooking.
b. Palpate the neighbor's thyroid gland for enlargement or nodules.
c. Ask if the neighbor has numbness or tingling in the hands or lips.
d. Question the neighbor about symptoms of hypothyroidism or hyperthyroidism.
ANS: D
Further assessment is the first step in deciding what to do. B. Palpating the gland is inappropriate because the patient might be experiencing hyperthyroidism. A. Instructing about iodized salt is not appropriate without a definitive diagnosis. C. Numbness and tingling signify a parathyroid, not a thyroid, problem.
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