Free NCLEX RN Practice Test Practice Question
The nurse is formulating a plan of care for a client with a goiter. The priority nursing diagnosis for the client with a goiter is:
Correct Answer: D
Rationale: In clients with a goiter, the enlargement of the thyroid can exert pressure on the trachea, leading to a risk for ineffective airway clearance. This can compromise respiratory function, making it a priority concern.
Option A, body image disturbance, while relevant, does not address immediate physiological threats. Option B, anxiety related to body image, may arise but is secondary to the physical risks. Option C focuses on nutritional concerns, which are important but not as critical as ensuring the airway remains clear. Prioritizing airway management is essential for the client's safety and well-being.
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