A nurse is assessing a patient's goiter. Which should the nurse consider doing for the most accurate assessment?

Stand behind the client.
Using both hands, place one on each side of the trachea.

Explanation

• A goiter is an abnormal enlargement of the thyroid gland, due to hyperthyroidism, Hashimoto’s thyroiditis, Graves' disease or, less often, hypothyroidism.

• To correctly assess a goiter, the nurse should stand behind the client, in the posterior approach, and using both hands, place the fingers on either side of the trachea below the thyroid cartilage.

• All other statements are incorrect.

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