Chapter 45 Stem Questions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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show | T3, T4, TSH, TRH (tests for hypothyroidism). pg 981
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2. An older woman comes to the office with vague complaints of fatigue, lethargy being forgetful, lacking energy, and always being cold. She apologizes for takin up the clinic's time, because her problems don't seem too severe. Th best response would be: | show 🗑
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3. The hyperthyroid patient complains of fatigue, but still cannot get to sleep. The nurse suggests: | show 🗑
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4. A thyroid scan (123I) has been ordered for the patient. The nurse explains it as: | show 🗑
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5. The patient asks about his lab test, which showed a HIGH level of TSH and a low level of T4. You explain: | show 🗑
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6. The nurse instructs the patient is scheduled to have a radioactive iodine uptake test to: | show 🗑
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7. The patient with Grave's disease asks the nurse for additional information regarding the disease. The nurse responds: | show 🗑
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show | These are signs of thyroid crisis/storm. Monitor carefully. Notify physician/charge nurse. pg 988
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show | Monitor for bleeding, signs of liver toxicity, agranulocytosis, hypothyroidism. Drowsiness precautions. Adhere to meds. pg 984
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show | Decreased cardiac output, disturbed sleep pattern, hyperthemia, imbalanced nutrition <body requirements, risk for injury, disturbed sensory perception, diarrhea. pg 985-986
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show | Usually med therapy is life-long, levels should be monitored periodically. Notify physician if chest pain. Avoid opioids, sedatives, tranquilizers- may cause fatal myxedema coma. pg 989
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show | Include decreasing anxiety, expect a dressing on front of th eneck, size will depend on approach, avoid straining and support the head. Have patient repeat teaching/demonstrate. pg 986
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show | In case the patient has trouble breathing, ineffective airway clearance. Respiratory distress/emergency can result from compression of the trachea or larynx spasm due to nerve damage or hypocalcemia. pg 987
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show | Check the back of the neck and the upperback. pg 987-988
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show | Hypothyroidism can start in infancy, but usually causes retardation. pg 988
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show | She could have signs of toxicty (pulse/bp decreased, chest pain complaint) or have reached a therapeutic blood level.
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17. Your neighbor complains of being cold all the time. In addition, she looks depressed and very weary. You suspect that she may have a thyroid deficiency. All the following are nursing diagnoses for hypothyroidism: | show 🗑
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show | Liberally apply lotions and creams. Reduce frequency of bathing. pg 991
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show | Look for twitching around the mouth and eyes, ask about tingling, tap the facial nerve. pg 987 and 994
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show | Poor muscle tone, bone pain, fractures, mood swings, polyuria, HTN, decreased reflexes, weakness, lethargy, depression, anorexia,constipation, mental and personality changes, cardiac dysrhythmias, weight loss, urinary calculi, confusion, coma, n&v. pg 995
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21. Your patient who is being treated for hyperparathyroidism is receiving calcitonin. The action of this hormone is to: | show 🗑
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22. An appropriate nursing diagnosis for a patient with hyperparathyroidism would be: | show 🗑
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show | Is the best way to obtain an adequate amount of iodine in the diet, and lack of iodine increases hyperthyroidism and goiter. pg 985 and 993
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24. The patient who has hypothyroidism can live a full and normal life if he is: | show 🗑
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25. The nurse explains to the patient tat the presurgical protcol of antithyroid drugs is given to (select all that apply): | show 🗑
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show | Monitoring pulse/bp, signs of heart failure. Alow for rest, bac rub, sedatives. Emotional rest- avoid stress. Light clothing- adjust emp. High calories, vitamins/minerals. Eye moisteners. Elevate head of bed. Perineal cleansing. Snacks. pg 985
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show | Bleeding, jaundice, abdominal pain, feve, sore throat, malaise, weight gain, fatigue. pg 984
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