NCLEX study from Mark Klimek Exam Questions with Correct Answers

Hyperthyroidism is also called - ANSWER-Grave's disease or hypermetabolism Tip to remember Grave's disease s/s's - ANSWER-"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance Treatment for Grave's disease - ANSWER-Radioactive Iodine, PTU (put thyroid under), surgically remove Total thyroidectomy ... totals get - ANSWER-tetany, need lifelong hormone replacement After thyroidectomy patients are at risk for - ANSWER-hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia parathesia - ANSWER-numbness and tingling, first sign of electrolyte imbalance Subtotal thyroidectomy ... subs get - ANSWER-storm S/S of thyroid storm - ANSWER-Extremely high vital signs, hyperpyrexia, psychotic delerium How to treat thyroid storm - ANSWER-give o2, lower temp to spare brain Risks post op for total thyroidectomy - ANSWER-airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany Risks post op for sub total thyroidectomy - ANSWER-airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm Hypothyroidism is also called - ANSWER-Myxedema or hypometabolism S/S of mydexema - ANSWER-everything is down, constipation, heat tolerance, cold intolerance Treatment for mydexema - ANSWER-give thyroid medications Where to put the 5 ice packs to cool a thyroid storm patient - ANSWER-neck pits groin If you cool a patient too fast what might happen? - ANSWER-Heart arrythmias Never hold the hormone for what patient? - ANSWER-patient who is NPO with mydexema