Thyroid - Too much, Too little - Think Metabolism - NCLEX
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| a nurse reinforces instruction to a pt taking synthroid (levothyroxine(. the nurses determines that the teaching was effective if the pt states that he or she will take the medication | on an empty stomach
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| A pt is dx with hyperthroidism you expect the dr to order which medication | methimazole (tapazole)
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| a pt with dry skin & unintended weight gain enters the clinic with. You suspect tat the pt is hypothyroid bc you also see the following symptoms | constipation
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| a pt comes in 4 routine check up & complains of unintended weight loss, embarrassing diaphoresis and heart palpitations. You are not surprised when the pt also has | high BP
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| a pt is in thyroid storm you quickly do what? | administer oxygen, administer PTU (proplthiouracil)
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| A pt has hyperthroidism. In order 2 counter the potential cardiac symptoms, the nurse which drug to be ordered? | metoprolol (Lopressor)
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| preop thyroidectomy the patient needs to be euthroid | prevent thyroid storm
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| what are the signs and symptoms of thyroid storm? | Tachycardia and restlessness
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| which of he following equipment needs to be at the bedside of the pt post thyroidectomy | tracheostomy kit
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| what are key pts in the adminstration of levothyroxine (synthroid) and liothyronine (cytomel)? | use with caution n the elderly, start replacement therapy slowly, report palpitations or chest pain, insomnia, nervousness, tachycardia and angina may be signs of overdose
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| what is the key phrase that shows understanding of thyroid disease? | think metabolism
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| define primary and secondary types of hypothroidism | primary: due to the disease or loss of the thyroid gland r/t iodine deficiency or surgical removal of the gland
secondary: due to failure of the anterior pituitary gland to stimulate the thyroid gland or failure of the target tissues to respond to the
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| what are early signs of hypothyroidism | weakness, fatigue, cold intolerance, constipation, unintended weight gain, depression, joint or muscle pain,thin, brittle fingernails paleness
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| what are late signs of hypothyroidism | slow speech, dry, flaky skin thickening of the skin, puffy face, hands and feet decreased taste and smell thinning eyebrows hoarseness abnormal menstrual periods
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| medication given most for hypothyroidism | synthroid (levothyroxine), given on an empty stomach to increase absorption
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| what are signs of complication myxedema coma? | decreased respiration's, decreased CO, increased cerebral hypoxia, stupor, hypothermia, bradycardia hypotension
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| what are the nursing actions taken for myxedema coma? | airway, IV support circulation and glucose level, EKG: mx for dyshythmias and other cardiac affects, check blood gases, warm with blankets monitoring until temp ok, replace hormone with IV levothyroxine, I&O with daily weight
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| graves disease is hypo or hyperthyroidism? | hyperthyroidism
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| what are sxs of thyroid storm? | hyperthermia/diaphoresis, restlessness/anxiety/ increased BP, HTN, delirium, vomiting, abdominal pain, tachydysrhythmias
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