Exam (elaborations)
PN 140 TEST 3 PRACTICE QUESTIONS AND ANSWERS PART 2
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PN 140 TEST 3 PRACTICE QUESTIONS AND ANSWERS PART 2....
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A patient reports they do not eat enough iodine in their diet. Whatcondition are they most susceptible to?
A. Pheochromocytoma
B. Hyperthyroidism
C. Thyroid Storm
D. Hypothyroidism - ANSWER D. Hypothyroidism
Iodine helps make T3 and T4....if a person does not consume enough
iodine they are at risk for developing HYPOTHYROIDISM.
A patient is being discharged home for treatment of hypothyroidism.
Which medication is most commonly prescribed for this condition?
A. Tapazole
B. PTU (Propylthiouracil)
C. Synthroid
D. Inderal - ANSWER C. Synthroid is the only medication listed that
treats hypothyroidism. All the other medications are used for
hyperthyroidism.
You are performing discharge teaching with a patient who is going home
on Synthroid. Which statement by the patient causes you to re-educate
the patient about this medication?
A. "I will take this medication at bedtime with a snack."
,B. "I will never stop taking the medication abruptly."
C. "If I have palpitations, chest pain, intolerance to heat, or feel restless,
I will notify the doctor."
D. "I will not take this medication at the same time I take my Carafate." -
ANSWER A. "I will take this medication at bedtime with a snack."
Synthroid is best taken in the MORNING on an empty stomach. All the
other statements are correct about taking Synthroid.
A patient is admitted with complaints of palpations, excessive sweating,
and unable to tolerate heat. In addition, the patient voices concern about
how her appearance has changed over the past year. The patient
presents with protruding eyeballs and pretibial myxedema on the legs
and feet. Which of the following is the likely cause of the patient's signs
and symptoms?
A. Thyroiditis
B. Deficiency of iodine consumption
C. Grave's Disease
D. Hypothyroidism - ANSWER C. Grave's Disease
A patient who is in her first trimester of pregnancy is diagnosed with
hyperthyroidism. Which medication do you suspect the patient will be
started on?
A. Propylthiouracil (PTU)
B. Radioactive Iodine
C. Tapazole
D. Synthroid - ANSWER A. Propylthiouracil (PTU)
,Propylthiouracil (PTU) is the only anti-thyroid medication that can be
used during the 1st trimester of pregnancy.
Which of the following are treatment options for hyperthyroidism? Please
select all that apply:
A. Thyroidectomy
B. Methimazole
C. Liothyronine Sodium "Cytomel"
D. Radioactive Iodine - ANSWER The answers are A, B,and D.
Liothyronine Sodium "Cytomel" is a treatment for hypothyroidism. All the
other options are for hyperthyroidism.
A patient was recently discharged home for treatment of hypothyroidism
and was ordered to take Synthroid for treatment. The patient is re-
admitted with signs and symptoms of the following: heart rate 42, blood
pressure 70/56, blood glucose 55, and body temperature of 96.8 'F. The
patient is very fatigued and drowsy. The family reports the patient has
not been taking Synthroid since being discharged home from the
hospital. Which of the following conditions is this patient most likely
experiencing?
A. Thryoid Storm
B. Myxedema Coma
C. Iodism
D. Toxic Nodular Goiter - ANSWER B. Myxedema Coma
The red flags in this question are the patient's signs/symptoms and the
report from the family the patient hasn't been taking the prescribed
Synthroid. The patient is showing signs and symptoms of extreme
, hypothyroidism known as Myxedema coma (which is life-threatening if
not treated).
A patient is being educated on how to take their anti-thyroid medication.
Which of the following statements are INCORRECT?
A. "I will continue taking aspirin daily."
B. "I will take this medication at the same time every day."
C. "It may take a while before I notice that the medication is helping my
condition."
D. "I will avoid foods containing high levels of iodine." - ANSWER A. "I
will continue taking aspirin daily."
The patient needs to be instructed NOT to take aspirin because it
increases thyroid hormones. All the other statements are correct.
A patient with hypothyroidism is having pain 6 on 1-10 scale in the right
hip due to recent hip surgery. Which of the following medications are
NOT appropriate for this patient? Select all that apply:
A. Fentanyl
B. Tylenol
C. Morphine
D. Dilaudid - ANSWER A, C, D
Patients who have hypothyroidism are very sensitive to narcotics and
should take NON-NARCOTICS for pain relief. Fentanyl, Morphine, and
Dilaudid are all narcotics, whereas, Tylenol is not.
A patient is 6 hours post-opt from a thyroidectomy. The surgical site is
clean, dry and intact with no excessive swelling noted. What position is
best for this patient to be in?
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