Comprehensive Predictor Retake Review Questions & Answers(RATED A)

Delegation to Assistive Personal -ANSWER - ADLs - Bathing - Grooming - Dressing - Tioleting - Ambulating - Feeding (without swallowing precautions) - Positioning - Rountine Tasks - Bed making - Specimen collection - I&O - Vital Signs ( for stable clients ) Planning Care for a Client Who Has Hypothyroidism -ANSWER - Monitor for low Bp & bradycardia - Monitor for chest pain & peripheral edema - Monitor clients weight - reorient the client if confusion occurs - provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands - Monitor respiratory status - encourage client to cough and breathe deeply to prevent pulmonary complications - low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight loss - Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with absorption of levothyroxine) - Provide extra clothing and blankets for clients who have decreased cold intolerance - caution use of electric blankets - Encourage verbalization of feelings and fears about body changes - Reassure client that most physical manifestations are reversible - use caution with CNS depressants (barbiturates or sedatives) Signs of hypothyroidism -ANSWER - Fatigue/ lethargy - irritability - intolerance to cold - constipation - weight gain - pallor - think brittle fingernails - depression & apathy - joint or muscle pain - bradycardia, hypotension, dysrhythmias - slow thought process & speech - hypoventilation & pleural effusion - thickening of the skin - hair loss - thickening of hair on eyebrows - dry flaky skin - decreased acuity of taste - impotence - abnormal menstrual periods (menorrhagia/ amenorrhea) - delayed physical and mental growth in children Medication for hypothyroidism -ANSWER levothyroxin (synthetic thyroid hormone replacement) Risk factors for hypothyroidism -ANSWER - females 30 to 60 years of age - use of lithium & amiodarone medications - Inadequate intake of iodine - Radiation Therapy the head and neck What is hypothyroidism -ANSWER underactive thyroid Hyperthyroidism ri Comprehensive Predictor Retake Review Questions & Answers(RATED A)