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FINAL EXAM:NURS 611 Questions with Certified Answers(A+)

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FINAL EXAM:NURS 611 Questions with Certified Answers(A+) Thyroid primary dysfunction CORRECT ANS-Located at the thyroid gland Thyroid secondary dysfunction CORRECT ANS-Located at the pituitary gland Thyroid tertiary dysfunction CORRECT ANS-Located at the hypothalamus TSH CORRECT ANS-thyroid s...

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  • September 1, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NUR 611
  • NUR 611

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FINAL EXAM: NURS 611 Questions with Certified
Answers(A+)

Thyroid primary dysfunction CORRECT ANS-Located at the thyroid gland




Thyroid secondary dysfunction CORRECT ANS-Located at the pituitary gland




Thyroid tertiary dysfunction CORRECT ANS-Located at the hypothalamus




TSH CORRECT ANS-thyroid stimulating hormone; stimulates uptake & storage of iodine by

thyroid cells & release of T3 + T4




T3 CORRECT ANS-thyroid hormone; short half-life; more potent; associated w/ graves

disease




T4 CORRECT ANS-thyroid hormone; longer half-life




TRH CORRECT ANS-thyrotropin releasing hormone; stimulates thyrotropin cells in anterior

pituitary to release TSH

, FINAL EXAM: NURS 611 Questions with Certified
Answers(A+)


Calcitonin CORRECT ANS-secreted by thyroid gland in response to high plasma calcium

levels




Thyroid: diagnostic tests CORRECT ANS-TSH, T3, T4, inverted TSH in response to T3/T4

levels, ultrasound, CT, MRI, thyroid scan(radioactive iodine reuptake)




Thyroidectomy CORRECT ANS-tx for thyroid cancer; modified or radial neck dissection;

radioactive iodine to minimize tumors




Thyroidectomy: PreOp CORRECT ANS-minimize stress/anxiety; no caffeine/stimulants; low-

iodine diet; avoid salt, seafood, dairy, eggs, soy, chocolate




Thyroidectomy: PostOp CORRECT ANS-risk for infection, bleeding, airway, pain

management, potential for hypoglycemia, HOB raised > 30, keep neck in neutral position




Hypothyroid CORRECT ANS-lack of T3/T4; increase in TSH

, FINAL EXAM: NURS 611 Questions with Certified
Answers(A+)


Hashimoto's CORRECT ANS-primary hypothyroidism; autoimmune attacks the thyroid

causing decrease in T4 & increase in TSH as compensation; 95% of hypothyroidism




Hypothyroidism: Medications CORRECT ANS-Levothyroxine (Synthroid)




Levothyroxine: Nursing Considerations CORRECT ANS-take on empty stomach; monitor

TSH frequently; do not stop taking or change dosage; fiber, calcium, iron, antacid supplements

interfere w/ absorption; monitor for irritability, tachycardia, palpitations, heat intolerance &

rapid weight loss




hypothyroid complications CORRECT ANS-myxedema coma; decompensated

hypothyroidism




Myxedema coma s/s CORRECT ANS-decrease in mental status; hypothermia, bradycardia,

acute coronary syndrome, hypoventilation/resp. (risk for respiratory acidosis); failure, shock,

hypoglycemia, death (high mortality)

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