Nurs 1220 wk 5: thyroid and diabetes Exam Questions With Correct Answers
1 view 0 purchase
Course
NURS 1220
Institution
NURS 1220
Nurs 1220 wk 5: thyroid and diabetes Exam
Questions With Correct Answers
Thyroid hormone secretion is controlled by a _______________ mechanism - answernegative
feedback
the major role of the thyroid gland is to? - answerregulate metabolism
radioactive iodine is given via what route - answerby...
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hypothyroidism? - answer✔T3 & T4 decreased
TSH increased
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hyperthyroidism? - answer✔T3 & T4 increased
TSH decreased
the most common reason a person with hypothyroidism seeks medical treatment is ? -
answer✔depression
in hypothyroidism, tissues and organs are affected by the low metabolic rate... this causes a
buildup of water and mucous causing cellular edema that is mucinous.
this is called? - answer✔myxedema
autoimmune destruction of thyroid ells starting several weeks after a bacterial or viral infection;
damages thyroid glad and causes hypothyroidism - answer✔hashimotos disease
drug therapy for hypothyroidism - answer✔lifelong thyroid hormone replacement therapy
- levothyroxine
patient education about taking levothyroxine hormone replacement - answer✔take as prescribed
lifelong
take with full glass water
take in morning 1-2 hours before eating
low doses gradually increased
- empty stomach
if crushed, must be crushed in small amt water 5-10mL
- take immediately after crushing and mixing
- place tube feeds on hold 1-2 hours before admin
- avoid celery seed
highest priority assessment for a patient recently started on thyroid replacement therapy -
answer✔check for tremors & determine presence or absence of chest pain
if a patient is taking hormone replacement therapy and is having difficulty sleeping the dosage
may need to be changed
1) if patient cannot fall asleep and has more BM than usual-->
2) if patient is sleeping too much and is having difficulty with BM--> - answer✔1) decrease dose
2) increase dose
what does a goiter mean? - answer✔enlarged thyroid gland due to a thyroid disorder, but does
not differentiate between hypo and hyper thyroidism
the most common cause of death among patients with myxedema is: - answer✔respiratory failure
interventions for hypothyroidism - answer✔-apply o2 if pt hypoxic
- listen for decreased lung sounds
- avoid sedatives like opioids and anesthesia
- observe for indications of shock
what does the nurse monitor for when a patient start taking thyroid hormone replacement
therapy? - answer✔pain and dyspnea
indications of shock in a patient with hypothyroidism - answer✔hypotension
decreased urine output
change in mental status
problems with lab values that can occur from myxedema secondary to hypothyroidism -
answer✔hyponatremia
hypoglycemia
hypothermia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sirjoel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
