The nurse should never palpate the thyroid gland of a patient with which disorder?
a. Hypothyroidism
b. Hyperthyroidism
c. Goiter
d. Hypoparathyroidism
ANS: B
The thyroid gland should never be palpated in a patient with uncontrolled hyperthyroidism, because this can stimulate secretion of additional thyroid hormone. This is not a danger with hypothyroidism, goiter (unless accompanied by hyperthyroidism), or hypoparathyroidism.
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When was psychiatric training for nurses initially offered?
a. 1852 b. 1882 c. 1902 d. 1922
A patient comes to the clinic for a follow-up appointment after using a glucocorticoid ointment for eczema for 3 weeks. Because the patient is pleased with the results, she states that she would like to continue treatment with an oral glucocorticoid
What response from the nurse is most ap-propriate? a. "Oral glucocorticoids are only indicated if topical glucocorticoids have been in-effective." b. "Oral glucocorticoids will have fewer side effects, so your suggestion is good." c. "You make an excellent point! Topical glucocorticoids can cause skin atrophy, whereas oral agents don't have the same effect." d. "Oral glucocorticoids are more convenient to use, so I agree with your sugges-tion."
Gastroscopy reveals degeneration of the gastric mucosa in the body and fundus of the stomach. This condition increases the risk for the development of:
a. pernicious anemia. b. osmotic diarrhea. c. increased acid secretion. d. decreased gastrin secretion.
A patient has stage I tumor in situ (TIS). Which of the following explanations of TIS by the nurse is best?
a. "The tumor is situated between two tissues, so there is risk for metastasis to both tissues." b. "The tumor has not invaded any tissues beyond the original site." c. "The tumor has spread and is generalized throughout the body." d. "The tumor has spread to the lymph nodes in the immediate area."