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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| 1. A young woman makes an appointment to see a physician at the clinic. She complains of tiredness, weight gain, muscle aches and pains, and constipation. The physician will likely order: | show 🗑
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| show | Something therapeutic: signs and symptoms may be subtle in the elderly or attributed to aging process. May escape detection until severe because the symptoms are vague. pg 979
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| show | Bedtime rituals, avoid caffeine, have a restful environment, maybe sedatives. pg 985
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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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| show | It means they have an overactive thyroid, may experience goiter. Grave's is the most common type of hyperthyroidism, may experience periods of remission and exacerbation and exophthalmus. pg 982
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| show | These are signs of thyroid crisis/storm. Monitor carefully. Notify physician/charge nurse. pg 988
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| 9. The patient has been given an antithyroid drug called propylthiouracil. Appropriate nursing implentations include: | show 🗑
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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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| 11. The patient, newly diagnosed with hypothyroidism, seems very anxious to begin her drug regimen. The nurse's instructions include: | show 🗑
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| 12. The nurse will include in the pre-surgical teaching of a patient scheduled for a subtotal thyroidectomy that the patient will have to: | show 🗑
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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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| 15. The patient, seeking additional information about her diagnosis of hypothyroidism, asks if this condition has been present since infacy. The nurse responds: | show 🗑
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| 16. An older patient wondered why the doctor has decreased her daily dose of thyroid hormone. The nurse's best response would be that the decreased dose is because: | show 🗑
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| show | Activity intolerance, imbalanced nutrition >body requirements, hypothermia, constipation, risk for impaired skin integrity, decreased cardiac output, disturbed thought process, disturbed body image, self care deficit pg 989
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| show | Liberally apply lotions and creams. Reduce frequency of bathing. pg 991
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| 19. In order to check for Chvostek's sign, the nurse will: | show 🗑
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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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| show | Lower level of calcium level in the blood by inhibiting release of calcium from bones. pg 996 and ppt.
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| show | Activity intolerance, risk for injury r/t weakness/fatigue. Impaired urinary elimination r/t calculi. Constipation. Disturbed thought process. Imbalanced nutrition <body.
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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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| show | Compliant with lifelong hormone replacement therapy. Teach signs/symptoms of hyperthyroidism that may occur. pg 992-993
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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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| 27. The nurse makes a list of symptoms that the patient who is on methimazole (Tapazole), a thionamide drug, should report, which list includes (select all that apply): | show 🗑
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