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M6 13-005

Exam 13: Thyroid D/O Questions

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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
The three major life-threatening complications postoperatively of a thyroidectomy are: Hemorrhaging. Tetany. Thyroid Crisis (Storm).
Created by: jtzuetrong