Hyperthyroidism NCLEX Exam Questions with 100% Correct Answers

Hyperthyroidism/ grave's disease Correct Answer caused by excessive amounts of thyroid hormones. Assessment: risk factors Correct Answer -most prevalent in women and older adults -peak incidence in third or fourth decade of life -probably an autoimmune disorder Clinical manifestations Correct Answer 1. Increased rate of body metabolism; -intolerance to heat -significant weight loss, despite increased appetite and food intake -tachycardia, increase in systolic blood pressure -increased peristalsis, leading to diarrhea -hand tremors and hyperactive deep tendon reflexes 2. Visual problems; -Exophthalmos (bulging eyeballs) -Changes in vision -Eyelid retraction (lid lag) 3. Changes in menstrual cycle 4.Enlarged, palpable thyroid gland 5.Labile emotional state Diagnostics Correct Answer 1. INCREASE in T3, T4 and free T4 serum levels 2.DECREASE in TSH active idodine uptake test greater than 50% 4. Client's physical appearance and symptoms Complications Correct Answer 1. Tyroid storm or crisis: may occur after surgery or treatment with radioactive iodine -systolic hypertension, tachycardia, heart failure -increased temperature(greater than 102of (38.9 C); hyperthermia up to 105.3of (40.7C) -increased agitation, seizures, delirium, coma 2.Calcium deficit may occur as a result of trauma to the parathyroid Thyroid storm Correct Answer *increased temp, pulse and HTN *acute life threatening complications with uncontrolled hyperthyroidism