Exam 13: Thyroid D/O Questions
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| A patient has returned to his room after a thyroidectomy. He is presenting with signs and symptoms of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of | Congestive Heart Failure.
In thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated.
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| Which nursing diagnosis is appropriate for a patient diagnosed with hypothyroidism as the result of a newly developed goiter? | Disturbed body image.
Nursing diagnosis and interventions for the patient with simple (colloid) goiter include Body image, disturbed, risk for, related to altered physical appearance.
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| A Pt, age 40, diagnostic workup because of a possible D/O of thyroid gland. Orders recall that there are several diagnostic tests to determine thyroid disorders. The test that employs radioactive iodine and use of a scintillation camera is called the | Radioactive iodine uptake test (RAIU).
Radioactive iodine is given by mouth; a scintillator is held over the thyroid to measure how much isotope has been removed from the bloodstream.
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| A patient is diagnosed with hyperthyroidism. In the treatment of hyperthyroidism, which one of these medications is likely to be prescribed to decrease the activity of her thyroid gland? | Propylthiouracil.
Medical management for hyperthyroidism may include administration of drugs that block the production of thyroid hormones, such as propylthiouracil.
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| A patient with a subtotal thyroidectomy returned to the surgical unit after a short stay in the postanesthesia care unit. She is receiving fluids intravenously.Which position would be most appropriate for her when she recovers and VS are stable? | Semi-Fowlers.
There should also be a suction apparatus and tracheotomy tray available for emergency use.
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| Chvostek’s sign and Trousseau’s sign are tests to determine: | Low levels of blood calcium.
Low levels of blood calcium may be determined by the use of Chvostek’s sign and Trousseau’s sign.
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| A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. Nutritional interventions should include | Calorie-restricted meals.
A high-protein, high-fiber, lower calorie diet is given.
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| A 47-year-old patient with hypothyroidism is being given discharge instructions that should include | Seeing his physician regularly for follow- up care.
Regular checkups are essential, because drug dosage may have to be adjusted from time to time.
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| What would be most necessary to place postoperatively at the bedside of the patient with a subtotal thyroidectomy? | Tracheostomy Tray.
There should be a suction apparatus and tracheotomy tray available for emergency use.
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| Pt with a Hx of Graves’ disease is admitted to the unit with SOB. The nurse notes the patient’s vital signs: T 103° F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. The nurse suspects the patient has which medical emergency? | Thyroid Storm.
In a thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated.
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| Hypothyroidism is treated with replacement therapy. The patient should be instructed to eat well-balanced meals including intake of iodine. Which food is rich in iodine? | The hypothyroid diet should be adequate in intake of iodine, in foods such as saltwater fish, milk, and eggs; fluids should be increased to help prevent constipation.
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| The three major life-threatening complications postoperatively of a thyroidectomy are: | Hemorrhaging.
Tetany.
Thyroid Crisis (Storm).
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