Upgrade to remove ads Show Only ₩37,125/year
Terms in this set (27)What are the clinical manifestations of hyperthyroidism? (Select all) A. Weight loss Clinical manifestations of hyperthyroidism include: weight loss (active GI), heat intolerance, increased HR & BP, & diarrhea. Answers: A, C, D, E A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor & a cramp in the right hand upon returning to the surgical nursing unit. Which collaborative action will the nurse anticipate NEXT? A. Plan for emergency tracheostomy D. The patient's clinical manifestations of stridor & cramping are consistent with tetany caused by hypocalcemia resulting from damage to the parathyroid glands during surgery. Suctioning will not correct stridor. If calcium does not resolve stridor, endotracheal intubation or tracheostomy may be needed. Which nursing assessment of a 70 year old patient is MOST important to make during initiation of thyroid replacement with levothyroxine (Synthroid)? A. Apical pulse rate A. In older patients, initiation of levothyroxine can increase myocardial oxygen demand & cause angina or dysrhythmias. The medication also is expected to improve mental status, fluid balance, & increase metabolic rate & nutritional needs but these changes will not result in potentially life threatening complications. A 62 year old patient with hyperthyroidism is to be treated with radioactive iodine (RAI). The nurse instructs the patient? A. To discontinue the antithyroid medications taken before the radioactive therapy D. There is high incidence of post radiation hypothyroidism after RAI & the patient should be monitored for symptoms of hypothyroidism. RAI has a delayed response w/maximum effect not seen for 2 to 3 months & the patient will continue to take antithyroid medications. A patient develops carpopedal spasms & tingling of the lips following a parathyroidectomy. Which action will provide the patient with rapid relief from the symptoms? A. Administer the prescribed muscle relaxant C. The patient's symptoms suggest mild hypocalcemia. The symptoms of hypocalcemia will be temporarily reduced by having the patient breathe into a paper bag, which will raise the PaCO2 & create a more acidic pH. A patient has just arrived on the unit after a thyroidectomy. Which action should the nurse take first? C. Airway obstruction is a possible complication after thyroidectomy because of swelling or bleeding at the site or tetany. The priority nursing action is to assess the airway. Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm? A. Iodine B. B-Adrenergic blockers work rapidly to decrease the cardiovascular manifestations of thyroid storm. The other medications take days to weeks to have an impact on thyroid function. A 40 year old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information about the patient is MOST important to communicate to the surgeon? A. Difficult to awaken B. The neck swelling my lead to respiratory difficulty & rapid intervention is needed to prevent airway obstruction. Incisional pain should be treated but is not unusual after surgery. Heart rate of 112 not unusual in a patient who has hyperthyroid. Sleepiness in the immediate postoperative period is expected. After receiving change-of-shift report on the following four patients, which patient should the nurse see first? A. 31 yr old female patient w/Cushing syndrome & a blood glucose
level of 244 mg/dL C. Initiation of thyroid replacement in older adults may cause angina & cardiac dysrhythmias. The patient's high pulse rate needs rapid investigation by the nurse to assess for & intervene with any cardiac problems. Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis & a goiter will require the MOST immediate action? A. New onset changes in the patient's voice A. Changes in the patient's voice indicate that the goiter is compressing the laryngeal nerve & may lead to airway compression. The other findings will also be reported but are expected with Hashimoto's thyroiditis & do not require immediate action. The cardiac telemetry unit charge nurse receives status reports from other nursing units about four patients who need cardiac monitoring. Which patient should be transferred to the cardiac unit first? A. Patient with Addison's disease who takes hydrocortisone twice daily D. Emergency treatment of tetany requires IV administration of calcium, electrocardiographic monitoring will be required because cardiac arrest may occur if high calcium levels result form too rapid administration. Which statement by a 50 year old female patient indicates to the nurse that further assessment of thyroid function may be necessary? A. "I get up several times at night to urinate" B. Difficulty in swallowing can occur with a goiter. Which question from a nurse during a patient interview will provide focused information about a possible thyroid disorder? A. "What methods do you use to help cope with stress" C. Thyroid function affects metabolic rate, changes in weight may indicate hyperfunction or hypofunction of the thyroid gland. During the nurse's physical examination of a young adult, the patient's thyroid gland cannot be felt. The most appropriate action by the nurse is to a. palpate the patient's neck more deeply. B. The thyroid is frequently nonpalpable. The nurse would simply document the finding. A RN is caring for a patient with a goiter & possible hyperthyroidism. Which action by the RN indicates that the charge nurse needs to provide the RN with additional teaching? A. The RN palpates the neck to assess thyroid size A. Palpation can cause the release of thyroid hormones in a patient with an enlarged thyroid & should be avoided. The other actions are appropriated when caring for a patient with an enlarged thyroid. Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease? A. Exercise is contraindicated to avoid increasing metabolic rate D. Medications used to block the synthesis of thyroid hormones may take 2 to 3 months before the full effect seen. Large doses of iodine are used to inhibit the synthesis of thyroid hormones. Exercise using large muscle groups is encouraged. Radioactive iodine is the most common treatment for Graves' disease although surgery may be used. Which nursing action will be included in the plan of care for a patient with Graves' disease who has exophthalmos? A. Place cold packs on the eyes to relieve pain & swelling D. The patient should sit upright as much as possible to promote fluid drainage from the periorbital area. With exophthalmos, the patient is unable to close the eyes completely to blink. Lubrication of the eyes rather than eye patches will protect eyes. Cold packs will not help the swelling. Which prescribed medication should the nurse administer first to a 60-year-old patient admitted to the emergency department in thyroid storm? a. Propranolol (Inderal) A. B-Adrenergic blockers work rapidly to decrease the cardiovascular manifestations of thyroid storm. The other meds take days to weeks. Which assessment findings for a 35 yr old female patient admitted with Graves' disease requires the MOST rapid intervention by th nurse? A. Severe bilateral exophthalmos D. The patient's temperature indicates that the patient may have thyrotoxic crisis & that interventions to lower the temperature are needed immediately. The other findings also require intervention but do not indicate potentially life threatening complications. Which question will the nurse in the endocrine clinic ask to help determine a patient's risk factors for goiter? a. "How much milk do you drink?" B. Medications that contain thyroid inhibiting substances can cause goiter. Milk intake, neck injury, & immunization history are not risk factors for goiter. What is the priority nursing goal for a 14 year old with Graves' disease? A. Allowing the adolescent to make decisions about whether or not to take medication B. In order to adhere to the medication schedule, children need to understand that the medication must be taken two or three times per day. The adolescent with Graves' disease is not likely to be constipated. Adherence to the medication schedule is important to ensure optimal health & wellness. Exophthalmos (protruding eyeballs) may occur in children with?
A. Hypothyroidism Exophthalmos is a clinical manifestation of hyperthyrodisim. The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of hyperthyroidism (Graves' disease). Which statement made by the parent indicates a correct understanding of the teaching? A. "I would expect my child to gain
weight while taking this medication" B. Children being treated with propylthiouracil must be carefully monitored for the side effect of the drug. Parents must be alerted that sore throat & fever accompany the grave complications of leukopenia. These symptoms should be immediately reported. Which clinical manifestation my occur in the child who is receiving too much methimazole (Tapazole) for the treatment of hyperthyroidism (Graves' disease)? A. Seizures D. Parents should be aware of the signs of hypothyroidism that can occur from overdosage of the drug. The most common manifestations are lethargy & somnolence. The nurse is caring for a school age child with hyperthyroidism (Graves' disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all) A. Hyperthermia A child with thyroid storm will have severe irritability & restlessness, vomiting, diarrhea, hyperthermia, hypertension, severe tachycardia, & prostration. Answers: A, D, E Which diagnostic tests would relieve hyperthyroidism? (Select all) A. Increased TSH levels B, C Post op, after a thyroidectomy, what should the nurse have at the patient's bedside? (Select all) A. Oxygen A, C, D, E Sets with similar termsMed Surg: Chapter 50 Endocrine Problems44 terms ettennannette chapter 49 endocrine problems46 terms katie_conley20 MED SURG Ch.39- DCTC45 terms luann_henry3 Other sets by this creatorCellulitis4 terms erica2488 Meningitis7 terms erica2488 Seizures15 terms erica2488 SIADH7 terms erica2488 Other Quizlet setsPrinciples of Learning87 terms Madisonolandt kines quiz 720 terms alexiscag DDG - Exam Review Part 2 ( 11-20)167 terms NGGNGGPLUS 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?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. Goiter is commonly found on physical examination.
What assess with patient hyperthyroidism?Blood tests that measure thyroxine and thyroid-stimulating hormone (TSH) can confirm the diagnosis. High levels of thyroxine and low or nonexistent amounts of TSH indicate an overactive thyroid. The amount of TSH is important because it's the hormone that signals your thyroid gland to produce more thyroxine.
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 quizlet
zusammenhängende Posts
Urheberrechte © © 2024 ketiadaan Inc.
