The nurse plans care for a client with an enlarged thyroid. Which of the following actions should the nurse include in the client's assessment?

A. A bruit over the thyroid may indicate increased blood flow, which can occur in conditions such as Graves’ disease or hyperthyroidism. Auscultation is an important part of the assessment for clients with an enlarged thyroid to identify potential vascular abnormalities. B. The thyroid is usually assessed with the client sitting upright with the neck slightly extended, as this position allows better visualization and palpation of the gland. Lying flat can make palpation more difficult and less accurate. C. During thyroid palpation, the nurse typically asks the client to swallow, as swallowing elevates the thyroid and makes it easier to assess for size, nodules, or tenderness. Holding the breath is not part of standard thyroid assessment. D. Percussion is not a standard method for assessing the thyroid. Palpation and auscultation are the primary assessment techniques. Percussion does not provide useful information about thyroid size, consistency, or vascularity.