Thyroid Cancer Prognosis and Nursing Management Quiz

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Questions and Answers

What is simple goiter?

A benign tumor of the thyroid gland

An irregular enlargement of the thyroid gland

A malignant tumor of the thyroid gland

A compensatory hypertrophy of the thyroid gland caused by stimulation by the pituitary gland (correct)

What is a goiter?

A benign tumor of the thyroid gland

A visible swelling in the neck caused by thyroid enlargement (correct)

A malignant tumor of the thyroid gland

An irregular enlargement of the thyroid gland

What causes endemic (iodine-deficient) goiter?

Excessive iodine intake

Pituitary gland malfunction

Iodine deficiency and intake of large quantities of goitrogenic substances (correct)

Thyrotoxicosis and malignant tumors

What distinguishes toxic goiters from nontoxic goiters?

Presence of hyperthyroidism Signup and view all the answers

What is the most common type of goiter that occurs when iodine intake is deficient?

Simple or colloid goiter Signup and view all the answers

What may cause simple goiter in addition to iodine deficiency?

Intake of large quantities of goitrogenic substances in patients with unusually susceptible glands Signup and view all the answers

What has been found to have antithyroid actions and may cause simple goiter?

Lithium prescribed for the treatment of bipolar disorder Signup and view all the answers

What is advised to reduce edema to the vocal cords?

Talking as little as possible Signup and view all the answers

Where does the recurrent laryngeal nerve lie in relation to the thyroid?

Just behind the thyroid next to the trachea Signup and view all the answers

What is provided for access to frequently used items?

Overbed table Signup and view all the answers

What may be prescribed to promote weight gain?

High-calorie diet Signup and view all the answers

How long does it usually take for nonabsorbable sutures to be removed following surgery?

5 to 7 days Signup and view all the answers

When is the patient usually discharged from the hospital following surgery?

On the day of surgery or soon afterward if the postoperative course is uncomplicated Signup and view all the answers

What is encouraged for the patient as soon as possible after surgery?

Being out of bed Signup and view all the answers

What type of sutures dissolve within the body?

Absorbable sutures Signup and view all the answers

What is used for the relief of excessive mucous accumulation?

Humidifier with vapor-mist inhalations Signup and view all the answers

What controls the release of thyroid hormone from the thyroid gland?

Thyrotropin (TSH) Signup and view all the answers

What has been the most effective means of preventing goiter in at-risk populations?

Iodized salt Signup and view all the answers

What is the standard diagnostic procedure for evaluating thyroid nodules and masses?

Ultrasound-guided fine needle biopsy Signup and view all the answers

What is the treatment of choice for localized thyroid carcinoma?

Surgical removal Signup and view all the answers

What increases the risk of thyroid carcinoma?

External radiation of the head, neck, or chest in infancy and childhood Signup and view all the answers

What accounts for 90% of endocrine malignancies?

Thyroid cancer Signup and view all the answers

Who is more likely to develop thyroid cancer?

Women and patients younger than 50 years Signup and view all the answers

What is the most common and least aggressive type of thyroid tumor?

Papillary cancer Signup and view all the answers

Which type of thyroid cancer has common long-term survival despite being more aggressive?

Follicular cancer Signup and view all the answers

What are the main components of long-term follow-up for differentiated thyroid cancer?

Clinical assessment and hormone levels monitoring Signup and view all the answers

What tests are used for metastasis confirmation in thyroid cancer patients?

Radioiodine imaging and CT scans Signup and view all the answers

What is a priority in nursing management for thyroid cancer patients?

Reducing patient anxiety and protecting them from stress Signup and view all the answers

What is included in the preoperative education for thyroid cancer patients?

Educating the patient about diet, vitamins, and avoiding stimulants Signup and view all the answers

What is a priority in postoperative care for thyroid cancer patients?

Observing breathing difficulty and monitoring pulse and blood pressure Signup and view all the answers

Study Notes

Thyroid Cancer Prognosis and Nursing Management

Early detection and appropriate treatment lead to good prognosis for thyroid cancer patients under 50 years old.
Papillary cancer, the most common and least aggressive thyroid tumor, has the best prognosis among thyroid cancers.
Follicular cancer, a more aggressive form of thyroid cancer, also has common long-term survival.
Long-term follow-up for differentiated thyroid cancer is based on cancer stage and initial treatment results.
Follow-up includes clinical assessment, hormone levels monitoring, serum thyroglobulin measurement, and neck ultrasound.
Tests for metastasis confirmation include radioiodine imaging, CT, MRI, skeletal x-rays, and FDG PET.
Nursing management involves reducing patient anxiety and protecting them from stress to avoid thyroid storm.
Preoperative care includes educating the patient about diet, vitamins, and avoiding stimulants.
Preoperative education also covers preoperative tests, preparations, and how to support the neck post-surgery.
Postoperative care priorities include observing breathing difficulty, monitoring pulse and blood pressure, and assessing surgical dressings.
The nurse should anticipate patient apprehension, inform about oxygen use, and support the patient's head when moving.
IV fluids are given in the immediate postoperative period, and water and soft diet are gradually introduced as swallowing improves.

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Description

Test your knowledge of thyroid cancer prognosis and nursing management with this informative quiz. Explore key factors influencing prognosis and the essential nursing care for patients undergoing treatment.