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NUR: 2025 - EXAM 1 PREP questions with 100% correct answers

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NUR: 2025 - EXAM 1 PREP questions with 100% correct answers

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  • August 2, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
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NUR: 2025 - EXAM 1 PREP

older adults who have hyperthyroidism often present with: - correct answer ✔✔heart failure, angina, &
atrial fibrillation.



dietary intake of (a.)___________ and (b.)___________ is necessary for the production of thyroid
hormones - correct answer ✔✔(a.) protein

(b.) iodine



recent use of contrast media and oral contraceptives can cause: - correct answer ✔✔falsely elevated
thyroid hormone levels in blood work



severe illness, malnutrition, and the use of aspirin, corticosteroids, and phenytoin sodium can cause: -
correct answer ✔✔a false decrease in thyroid hormone levels in blood work



why must the RN report a temperature increase of 1 degree F or more to the MD immediately? - correct
answer ✔✔this is indicative of an impending thyroid crisis



T/F: If a subtotal thyroidectomy is performed, the patient will need thyroid hormone replacement
therapy. - correct answer ✔✔F: if a TOTAL thyroidectomy is performed, the patient will need thyroid
hormone replacement therapy.



after a SUBTOTAL thyroidectomy, the remaining thyroid tissue usually supplies enough thyroid hormone
for normal function.



Why is it crucial for the RN to check the surgical dressing and back of the neck for bleeding, following a
thyroidectomy? - correct answer ✔✔respiratory distress can occur from compression of trachea due to
hemorrhage, which is most likely to occur in the first 24 hours post-operatively.



how will the nurse assess for laryngeal nerve damage following a thyroidectomy? - correct answer
✔✔the nurse will ask the patient to speak as soon as awake from anesthesia and every 2 hours
thereafter.

, indications of hypocalcemia: - correct answer ✔✔tingling of the fingers & toes, carpopedal spasms,
convulsions



a nurse is reviewing the medical record of a patient who is being evaluated for Graves' disease. the nurse
should identify that which of the following laboratory results is an expected finding?

a. decreased thyrotropin receptor antibodies

b. decreased thyroid-stimulating hormone (TSH)

c. decreased free thyroxine index (T4)

d. decreased triiodothyronine (T3) - correct answer ✔✔CORRECT: b. decreased TSH in Graves' disease.
the pituitary gland decreases the production of TSH when TH levels are elevated



rationale: in Graves' a. c. & d. would be elevated.



a nurse is reviewing the manifestations of hyperthyroidism with a patient. which of the following findings
should the nurse include? (select all that apply)

a. anorexia

b. heat intolerance

c. constipation

d. palpitations

e. weight loss

f. bradycardia - correct answer ✔✔rationale:

a. increased metabolic rate, resulting in increased hunger.

b. CORRECT: hyperthyroidism increases the patient's metabolism, causing heat intolerance.

c. diarrhea is an expected finding for hyperthyroidism

d. CORRECT: increased metabolism, causes palpitations

e. CORRECT: increased metabolism, causes weight loss

f. increased metabolism, causes tachycardia

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