2. tachycardia
The nurse is completing a
health assessment of a 42-
Graves' disease, the most common type of
year-old female with
thyrotoxicosis, is a state of hypermetabolism. The
suspected Graves' Disease.
increased metabolic rate generates heat and produces
The nurse should assess this
tachycardia and fine muscle tremors. Anorexia is
client for:
associated with hypothyroidism. Loss of weight, despite
a good appetite and adequate caloric intake, is a
1. anorexia
common feature of hyperthyroidism. Cold skin is
2. tachycardia
associated with hypothyroidism.
3. weight gain
4. cold skin
CN: Physiological adaptation; CL: Analyze
3. oligomenorrhea
When conducting a health
history with a female client A change in the menstrual interval, diminished menstrual
with thyrotoxicosis, the flow (oligomenorrhea), or even the absence of
nurse should ask about menstruation (amenorrhea) may result from the
which of the following hormonal imbalances of thyrotoxicosis. Oligomenorrhea
changes in the menstrual in women and decreased libido and impotence in men
cycle? are common features of thyrotoxicosis. Dysmenorrhea is
painful menstruation. Metrorrhagia, blood loss between
1. dysmenorrhea menstrual periods, is a symptom of hypothyroidism.
2. metrorrhagia Menorrhagia, excessive bleeding during menstrual
3. oligomenorrhea periods, is a symptom of hypothyroidism.
4. menorrhagia
CN: Physiological adaptation; CL: Analyze
,A 34-year-old female is 2. decreased energy and fatigue, 3. weight gain of 10 lbs
diagnosed with (4.5 kg), 5. constipation, 6. menorrhagia
hypothyroidism. The nurse
should assess the client for Clients with hypothyroidism exhibit symptoms indicating
which of the following? a lack of thyroid hormone. Bradycardia, decreased
(Select all that apply.) energy and lethargy, memory problems, weight gain,
coarse hair, constipation, and menorrhagia are common
1. rapid pulse signs and
2. decreased energy and symptoms of hypothyroidism.
fatigue
3. weight gain of 10 lbs (4.5 CN: Physiological adaptation; CL: Analyze
kg)
4. fine, thin hair with hair
loss
5. constipation
6. menorrhagia.
1. sore throat
Propylthiouracil (PTU) is The most serious adverse effects of PTU are leukopenia
prescribed for a client with and agranulocytosis, which usually occur within the first
Graves' disease. The nurse 3 months of treatment. The client should be taught to
should teach the client to promptly report to the health care provider signs and
immediately report which of symptoms of infection, such as a sore throat and fever.
the following? Clients having a sore throat and fever should have an
immediate white blood cell count and differential
1. sore throat performed, and the drug must be withheld until
2. painful, excessive the results are obtained. Painful menstruation,
menstruation constipation, and increased urine output are not
3. constipation associated with PTU therapy.
4. increased urine output
CN: Pharmacological and parenteral therapies; CL:
Synthesize
,A client with thyrotoxicosis 2. "Your behavior is caused by the excess thyroid
says to the nurse, "I am so hormone in your system."
irritable. I am having
problems at work because I A typical sign of thyrotoxicosis is irritability caused by
lose my temper very easily." the high levels of circulating thyroid hormones in the
Which of the following body. This symptom decreases as the client responds to
responses by the nurse therapy. Thyrotoxicosis does not cause confusion. The
would give the client the client may be worried about her illness, and stress may
most accurate explanation influence her mood; however, irritability is a common
of her behavior? symptom of thyrotoxicosis and the client should be
informed of that fact rather than blamed.
1. "Your behavior is caused
by temporary confusion CN: Psychosocial integrity; CL: Synthesize
brought on by your illness."
2. "Your behavior is caused
by the excess thyroid
hormone in your system."
3. "Your behavior is caused
by your worrying about the
seriousness of your illness."
4. "Your behavior is caused
by the stress of trying to
manage a career and cope
with illness."
, The nurse is evaluating a 2. "I am able to sleep and rest at night."
client with hyperthyroidism
who is taking PTU is a prototype of thioamide antithyroid drugs. It
Propylthiouracil (PTU) 100 inhibits production of thyroid hormones and peripheral
mg/day in three divided conversion of T4 to the more active T3. A client taking
doses for maintenance this antithyroid drug should be able to sleep and rest
therapy. Which of the well at night since the level of thyroid hormones is
following statements from reduced in the blood. Excess energy throughout the day,
the client indicates the loss of weight and perspiring through the day are
desired outcome of the symptoms of hyperthyroidism indicating the drug has
drug? not produced its outcome.
1. "I have excess energy CN: Pharmacological and parenteral therapies; CL:
throughout the day." Evaluate.
2. "I am able to sleep and
rest at night."
3. "I have lost weight since
taking this medication."
4. "I do perspire throughout
the entire day."
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