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Exam 2: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville $10.99
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Exam 2: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

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Exam 2: NURS 623/ NURS623 (Latest 2024/ 2025 Update) Adult/ Gerontology Health Care II Guide | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville Q: Diagnostic tests for thyroid problems Answer: TSH Free T 4 - meds can alter labs: Steroids, adrogens, estrogens, salicylates,...

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  • October 2, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • hypothroidism ss
  • NURS 623/ NURS623
  • NURS 623/ NURS623
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nurse_steph
ExamI2:INURSI623/INURS623I(LatestI2024
/I2025IUpdate)IAdult/IGerontologyIHealthI
CareIIIIGuideI|IQsI&IAs|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IMaryville

Q:IDiagnosticItestsIforIthyroidIproblems

Answer:
TSH
FreeITI4

-
ImedsIcanIalterIlabs:ISteroids,Iadrogens,Iestrogens,Isalicylates,Iheparine,IiodineIcontainingIcou
mpounds.

IfIFt4Inormal,IthenIdoIFT3

AlsoIdoICBCIandILFT




Q:IFurtherItestingIafterIinitialIthyroidItesting

Answer:
TSHIreceptorIantibody
NucImedIscan
24IhourIiodineIuptake
ultrasound
fineIneedleIbiopsy




Q:IHyperthyroidI(gravesIdisease)ILabsI
TSHIlevelIwouldIbeI__

,T3/T4IwouldIbeI___


Answer:
TSHIwouldIbeIlowI
SerumIfreeIT3IandIT4IwouldIbeIelevated.I

RememberItheIknockingIonItheIdoorIanalogy:I
theIpituitaryIglandIrecognizesIthatItheIt3IandIt4IareIelevated,IsoIitIwillInotIsendIanyoneItoIkno
ckIonItheIthyroidsIdoorItoIincreaseIitI(akaIwillInotIsendIoutIanyImoreITSH)




Q:IHypothyroidismI(hashimotos's)IlabsI
TSHIlevelIwouldIbeI__
T3/T4IwouldIbeI___


Answer:
TSHIlevelIisIhigh
T3&IT4IareIlow.I

ThisIisIbecauseItheITSHIisItryingItoIgetItheIthyroidItoIproduceImoreIT3IandIT4,IbutItheIthyro
idIcant.IHenceItheIpatientIwillIneedIsyntheticIT4.I(synthroid)




Q:IPituitaryIabnormalityIlabs
TSHIwouldIbe
andIT3/T4IwouldIbe


Answer:
TSHIwouldIbeIelevated
T3/T4IwouldIalsoIbeIelevated

ThisIisIhowIyouIknowIitsItheIpituitaryIbecauseItheInegativeIfeedbackIsystemIisIfailing.




Q:ITreatmentIofIhyperthyroidism

, Answer:
TREATMENT:IHyperthyroidism
FirstItreatIpatientsIsymptomsI(potentiallyIbetaIblockers)

Then:
●Anti-ThyroidIMedications:IImportanceIforItimelyIdosingIandISideIeffectIofIdrowsiness
●IMethimazole
●IPropylthiouracil-IokayIforIpregnantIinIreducedIdoses.I

●IRadioactiveIIodineI131:IonlyIglandItoIabsorbIiodine

●ISurgeryIremovalIofIthyroidItissueIwithIthyroidIhormoneIsupplementItakenIforIlife




Q:IFollowIupItreatmentIforIhyperthyroidism

Answer:
•ThyroidItestsIatIleastItwiceIaIyear
•InitiallyIcheckI1ImonthIandI3ImonthsIunlessIsymptomatic

•Anti-thyroidImedications:IcontinueI6-24ImonthsIafterIeuthyroidIstate
•GraduallyItaper
•WatchIforIrelapse

•TFTsIafterIRadioactiveIiodineItherapy
•4-6Iweeks,I12Iweeks
•6Imonths
•Annually




Q:IHypothroidismIS/S

Answer:
-extremeIweakness
-muscleIfatigue
-cramps/arthralgias
-coldIintolerance

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