Chapter 49, Introduction to the Endocrine System

1.Which action would be most appropriate when evaluating a client's neck for thyroid enlargement? A) Inspect changes in pigmentation in the neck. B) Perform repeated palpation of the thyroid gland. C) Palpate the thyroid gland gently. D) Examine the skin of the neck for excessive oiliness. Ans: C Feedback: The nurse should inspect the neck for thyroid enlargement and gently palpate the thyroid gland. Repeated palpation of the thyroid in case of thyroid hyperactivity can result in a sudden release of a large amount of thyroid hormones, which may have serious implications. Pigment changes in the neck and excessive oiliness of the skin are not related to assessment for thyroid enlargement. 2.The nurse is reviewing the plan of care for a client with a disorder of the thyroid gland. Which diagnostic test would the nurse expect the physician to order to evaluate thyroid hormones? A) Magnetic resonance imaging B) Radioimmunoassay C) Computed tomography (CT) D) Cortisol level det