Which clinical manifestations would the nurse assess in a patient with hyperthyroidism

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Which clinical manifestations would the nurse assess in patient with hyperthyroidism?
What are some key clinical manifestations of hyperthyroidism?
What assess with patient hyperthyroidism?
Which clinical manifestations would the nurse assess in a patient with hypothyroidism?

Chapter52:AssessmentandManagementofPatientswithEndocrine

Disorders



1.ThenurseiscaringforapatientdiagnosedwithhypothyroidismsecondarytoHashimotosthyroiditis.

Whenassessingthispatient,whatsignorsymptomwouldthenurseexpect?

A)Fatigue

B)Bulgingeyes

C)Palpitations

D)Flushedskin

Ans:A

Feedback:

Symptomsofhypothyroidismincludeextremefatigue,hairloss,brittlenails,dryskin,voicehuskiness

orhoarseness,menstrualdisturbance,andnumbnessandtinglingofthefingers.Bulgingeyes,

palpitations,andflushedskinwouldbesignsandsymptomsofhyperthyroidism.

2.Apatienthasbeenadmittedtothepost-surgicalunitfollowingathyroidectomy.Topromotecomfortand

safety,howshouldthenursebestpositionthepatient?

A)Side-lying(lateral)withonepillowunderthehead

B) Headofthebedelevated30degreesandnopillowsplacedunderthehead

C)Semi-Fowlerswiththeheadsupportedontwopillows

D)Supine,withasmallrollsupportingtheneck

Ans:C

Feedback:

Whenmovingandturningthepatient,thenursecarefullysupportsthepatientsheadandavoidstension

onthesutures.Themostcomfortablepositionisthesemi-Fowlersposition,withtheheadelevatedand

supportedbypillows.

3.Apatientwiththyroidcancerhasundergonesurgeryandasignificantamountofparathyroidtissuehas

beenremoved.Thenursecaringforthepatientshouldprioritizewhatquestionwhenaddressing

TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017)979

GENERAL PURPOSE To provide nurses with an overview of thyroid disease. LEARNING OBJECTIVES After reading the preceding article and taking this test, you should be able to: 1. Describe the clinical manifestations of thyroid disease. 2. Identify treatment strategies for a patient with thyroid disease. 3. Identify nursing considerations for a patient with thyroid disease.

1. Which of the following statements is true?

a. Hyperthyroidism is more common than hypothyroidism.

b. Thyroid disease is more common in men than women.

c. Most cases of thyroid disease are diagnosed before age 50.

d. Thyroid disease can mimic other diseases.

2. The hypothalamus stimulates the anterior pituitary by secreting

a. TSH.

b. thyroxine.

c. triiodothyronine.

d. thyrotropin-releasing hormone.

3. Tertiary thyroid dysfunction occurs at the

a. pituitary.

b. hypothalamus.

c. thalamus.

d. thyroid.

4. Decreased TSH and increased free thyroxine point to

a. subclinical hypothyroidism.

b. overt hyperthyroidism.

c. overt hypothyroidism.

d. subclinical hyperthyroidism.

5. Advise your patient to take levothyroxine

a. on an empty stomach.

b. with breakfast.

c. with lunch.

d. with dinner.

6. The usual adult daily maintenance dosage of oral levothyroxine is

a. 25 to 50 mcg.

b. 25 to 50 mg.

c. 75 to 100 mcg.

d. 75 to 100 mg.

7. Which of the following statements is true regarding levothyroxine?

a. TSH levels are drawn every 8 weeks indefinitely when the patient is on levothyroxine.

b. Patients can change brands of levothyroxine without problems.

c. Levothyroxine should be taken at the same time daily.

d. Patients can stop taking levothyroxine as soon as they feel better.

8. The gold standard for treating hyperthyroidism is

a. antithyroid medication.

b. surgery.

c. ablation therapy.

d. beta-blockers.

9. Radioactive iodine is the treatment of choice for

a. a pregnant woman with hyperthyroidism.

b. an elderly patient with hypothyroidism.

c. a breast-feeding woman with hyperthyroidism.

d. a patient with heart failure and hyperthyroidism.

10. A goal of radioactive iodine is to induce

a. hypothyroidism.

b. hyperthyroidism.

c. thyroiditis.

d. pretreatment remission.

11. Signs of thyroid storm include

a. severe tachycardia.

c. elevated TSH.

b. hypothermia.

d. decreased FT4

12. Which of the following isnota primary goal of thyroid storm management?

a. prevent excessive hyperthermia

b. prevent seizures

c. prevent cardiovascular collapse

d. induce a normal thyroid state

13. Which of the following is a priority strategy for managing thyroid storm?

a. warming blanket

b. aspirin

c. propylthiouracil

d. thyroid hormone

14. Signs and symptoms of myxedema coma may include

a. decreased TSH.

b. hyperglycemia.

c. severe tachycardia.

d. seizures.

15. Extreme hypothyroidism may be treated with

a. thyroid hormone.

b. phenytoin.

c. opioids.

d. a cooling blanket.

16. Signs and symptoms of subclinical hypothyroidism include

a. mild depression.

b. difficulty sleeping.

c. diarrhea.

d. profuse sweating.

Figure

Which clinical manifestations would the nurse assess in patient with hyperthyroidism?

Nursing Diagnosis.

Fatigue..

Tremor..

Sweating..

Hyperactive..

Anxious..

Palpitations..

Heat intolerance..

Nervous..

What are some key clinical manifestations of hyperthyroidism?

Most patients with overt hyperthyroidism have a dramatic constellation of symptoms. The classic symptoms of hyperthyroidism include heat intolerance, tremor, palpitations, anxiety, weight loss despite a normal or increased appetite, increased frequency of bowel movements, and shortness of breath.

What assess with patient hyperthyroidism?

Hyperthyroidism can be diagnosed with blood tests that measure the amount of thyroid hormone and thyroid-stimulating hormone (TSH). Typically, the thyroid hormone level is high, and the TSH level is low.

Which clinical manifestations would the nurse assess in a patient with hypothyroidism?

People with hypothyroidism experience a slowing of metabolic processes, which can result in fatigue, slow speech, constipation, cold intolerance, weight gain, bradycardia, and decreased deep tendon reflexes. One study showed the most common symptoms are tiredness, dry skin, and shortness of breath.

Which clinical manifestations would the nurse assess in a patient with hyperthyroidism

Which clinical manifestations would the nurse assess in patient with hyperthyroidism?

What are some key clinical manifestations of hyperthyroidism?

What assess with patient hyperthyroidism?

Which clinical manifestations would the nurse assess in a patient with hypothyroidism?

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