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Week 8 Sherpath
Week 8 CON Thyroid and Parathyroid Disorders
| Question | Answer |
|---|---|
| Thyroid secretes three hormones: | triiodothyronine (T3), thyroxine (T4), and calcitonin. |
| The body takes iodine from food and converts it into | T3 an dT4 |
| hyperthyroidism | (too much thyroid hormone production) may develop. 2. the ages of 20 and 40 years. 3. Graves’ disease is the most common type. |
| hypothyroidism | too little thyroid hormone production) may develop. 2. deficiency of thyroid hormones that slows metabolism. 3. |
| the most common type of cancer found in the endocrine system. | Thyroid cancer |
| four parathyroid glands. | 1. Their job is to secrete PTH to regulate calcium levels. 2. PTH affects the bones, kidneys, and gastrointestinal tract. 3. When the parathyroid glands do not work properly, the resultant dysfunction causes either hyperparathyroidism, which is secretion |
| Secondary hyperparathyroidism occurs as the body tries to compensate for low calcium levels. | 1. Vitamin D deficiencies 2. Chronic kidney disease 3. Malabsorption 4. Hyperphosphatemia |
| The nurse is caring for a patient who tells the nurse she is cold all of the time, always tired, and more forgetful. What information does the nurse expect to find in the patient’s medical record? | Hypothyroidism |
| Which clinical manifestation of thyroiditis would lead the nurse to assess the patient’s airway? | Presence of a goiter |
| What should the nurse ask the patient who has a new diagnosis of thyroid cancer? | “Do you ever have difficulty swallowing food or liquids?” |
| The nurse is educating a patient with hyperthyroidism regarding dietary needs. Which statement by the patient indicates understanding of the information provided? | “I need to eat six full meals plus snacks on a daily basis.” |
| What information is most important for the nurse to include when teaching a patient with hypothyroidism about drug therapy with levothyroxine? | Levothyroxine must be taken for the rest of your life. |
| Which laboratory values will the nurse expect to find in a patient with new-onset Hashimoto’s thyroiditis? | Increased triiodothyronine (T3) and thyroxine (T4) levels |
| The nurse received a report from the operating room about a patient being transferred to the unit after a total thyroidectomy. Which nursing intervention is the highest priority to include in the plan of care? | Keep a tracheostomy kit at the patient’s bedside |
| The nurse is educating a patient being discharged with a new prescription for levothyroxine. Which statement made by the patient indicates a need for further teaching? | “This medication will help me lose the weight I have gained.” |
| A charge nurse working in the medical surgical unit receives a report on a patient with a long history of hypoparathyroidism who will be admitted during the upcoming shift. What equipment should the charge nurse ensure is placed in the patient’s room? | Telemetry monitor |
| Which assessment finding made by the nurse may indicate the onset of hypoparathyroidism? | Positive Chvostek’s sign |
| What should the nurse include in the assessment of a patient who presents with thyroid storm? | 1. Heart Rate 2. Temperature 3. Blood Pressure |
| Which information would the nurse expect to see in the medical record of a patient with Graves’ disease? | 1. Insomnia 2. Exophthalmos 3. History of systemic lupus erythematosus |
| A patient with a diagnosis of metastatic thyroid cancer is preparing for treatment. Which would be the best collaborative care treatment modality for the health care provider to prescribe for this patient? | Targeted therapy |
| A patient with hyperparathyroidism reports that she has started a vegan diet. What should the nurse include when teaching this patient about dietary management of the disease? | 1. Take a daily calcium supplement. 2. Include soybeans and tofu in your diet |
| The nurse is teaching a patient about management of hyperparathyroidism. Which statement made by the patient indicates a need for further teaching? | “It will be nice to not take any calcium pills anymore.” |
| Which electrolyte should the nurse monitor when caring for a patient with hypoparathyroidism? | Serum Calcium level |
| A patient with thyroid cancer who underwent a total thyroidectomy is being discharged. What should the nurse include in the discharge instructions? | 1. “Return to the clinic in one month to have thyroid hormone levels measured.” 2. “Notify the health care provider of any purulent drainage from the incision.” |
| The nurse is assessing a patient who underwent a parathyroidectomy related to hyperparathyroidism and finds positive Chvostek’s and Trousseau’s signs. Which action should the nurse take next? | Check patient’s serum calcium levels |
| A patient admitted to the hospital with thyroiditis asks the nurse why the health care provider is testing for systemic lupus erythematosus (SLE). What is the nurse’s best response? | “Patients with thyroiditis caused by a defect in the immune system often have other autoimmune diseases.” |
Created by:
Brandi Sizemore
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