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?"
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.
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