Exam 2 - Advanced Med Surg Galen College of Nursing
S/S of Hyperthyroidism correct answersAtrial fibrillation, bruit or thrill over the thyroid, Diaphoresis, Palpatations, Tachycardia, Heat Intolerance, Weight loss
S/S of Hypothyroidism correct answersFatigue, Mental sluggishness, Hypothermia, Dry flaky skin and thinning nails, cold intolerance, weight gane
What sign is elicited by tapping over the facial nerve and results in a spasm? correct answersChvostek sign
What does a positive Chvostek's sign indicate? correct answersHypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia? correct answersTrousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could arise? correct answersAirway ineffectiveness
TSH levels in hyperthyroidism are increased or decreased? correct answersDecreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased? correct answersIncreased
TSH levels in hypothyroidism are increased or decreased? correct answersIncreased (body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased? correct answersDecreased What group of people is most commonly affected by hypothyroidism? correct answerswomen
Hypocalcemia is common when what organ is injured during surgery? correct answersparathyroid
Dosages of this drug may need to be decreased if a client is also taking levothyroxine (Synthroid)? correct
answersCoumadin
When should levothyroxine (Synthroid) be administered? correct answersIn the morning, 2 hours away from any other drug
Therapy often used to treat hyperthyroidism is ____________ correct answersRadioactive Iodine or Thyroidectomy
Name one factor that most commonly triggers a thyroid storm? correct answersStress
S/S of Thyroid storm? correct answersHigh Fever, tachycardia, nausea, vomiting, tremors, agitation, psychosis
Client teaching for Cushing's Syndrome? correct answersRecognizing the signs and symptoms of infection and fluid retention
Client teaching for Addison's Disease? correct answersCarry injectable dexamethasone (Decadron), will have to take this medication for life
Client teaching for Diabetes Insipidus? correct answersRecognizing the signs and symptoms of dehydration
Client teaching for Diabetes Mellitus? correct answersSelf monitoring for infection, skin breakdown, changes in peripheral circulation, poor wound healing, numbness in extremities, foot care
Client teaching for Hyperthyroidism? correct answersAvoiding the use of stimulants such as caffeine containing foods and drugs, avoid bulky foods/fiber
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