You are conducting a routine physical examination on a 34-year-old patient. When palpating the patient's thyroid gland using the anterior approach, you would first do which of the following?
a. ask the patient to swallow
b. displace the thyroid cartilage with your right thumb
c. grasp the elevated right lobe of the thyroid gland with your left thumb, index finger, and middle finger
d. palpate the isthmus
B
When palpating the thyroid gland using the anterior approach, the nurse stands in front of the patient, places the right thumb on the thyroid cartilage, and displaces the cartilage to the patient's right. The next step is to grasp the elevated right lobe of the thyroid gland with the thumb, index, and middle fingers of the left hand. Then palpate the surface of the gland, have the patient swallow, and palpate the surface again. The isthmus is a band of tissue joining the lobes of the thyroid.
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