q7, nugent 9-28

Levothyroxine 0.125 mg by mouth is prescribed for a client with hypothyroidism. the only tablets available contain 25 mcg per tablet. How many tablets should the nurse administer.

5 tablets

A nurse is caring for a client who just had a thyroidectomy. For which client response should the nurse assess the client when concerned about an accidental removal of the parathyroid glands during surgery A. Tetany B. Myxedema C. Hypovolemic shock D. Adrenocortical stimulation

A. Tetany

A client is diagnosed with hyperthyroidism and is experiencing exophthalmia. Which measures should the nurse include when teaching this client how to manage the discomfort associated with exophthalmia (SATA) A. Use tinted glasses B. Use warm, moist compress C. Elevate the head of bed 45 degrees D. Tape the eyelids shut at night if they do not close E. Apply a petroleum based jelly along the lower eyelid

A. Use tinted glasses C. Elevate the head of bed 45 degrees D. Tape the eyelids shut at night if they do not close

PTU is prescribed for a client for a client diagnosed with hyperthyroidism. The client asks the nurse, "Why do I have to take this medication if i am going to get the atomic cocktail?" the nurse explains that the medication is being prescribed because it decreases the: A. Vascularity of the thyroid gland B. Production of the thyroid hormones C. Need for thyroid hormones D. Amount of already formed thyroid hormones

B. Production of thyroid hormones

A client with hyperthyroidism asks the nurse about the tests that will be ordered. Which diagnostic tests should the nurse include in a discussion with this client A. T4 and x-ray films B. TSH assay and T3 C. Thyroglobulin and Po2 D. Protein bound iodine and SMA

B. TSH assay and T3

For which client response should the nurse monitor when assessing for complications of hyperparathyroidism A. Tetany B. Seizures C. Bone pain D. Graves disease

C. Bone pain

A clients laboratory values demonstrate an increased serum calcium levels, and further diagnostic tests reveal hyperparathyroidism. For what clinical manifestations should the nurse assess this client (SATA) A. Muscles tremors B. Abdominal cramps C. Increased peristalsis D. Cardiac dysrhythmias E. Hypoactive bowel sounds

D. Cardiac dysrhythmias E. Hypoactive bowel sounds

A nurse in the post anesthesia care unit is caring for a client who just had a thyroidectomy. For which client response is it most important for the nurse to monitor A. Urinary retention B. Signs of restlessness C. Decreased blood pressure D. Signs of respiratory obstruction

D. Signs of respiratory obstruction

A nurse is caring for a client who is admitted to the hospital with the diagnosis of primary hyperparathyroidism. Which action should be included in this clients plan of care A. Ensuring a large fluid intake B. Providing a high calcium diet C. Instituting seizure precautions D. Encouraging complete bedrest

A. Ensuring a large fluid intake

A nurse is assessing a client with a diagnosis of hypothyroidism. Which clinical manifestation should the nurse expect when assessing this client (SATA) A. Dry skin B. Brittle hair C. Weight loss D. Resting tremors E. Heat intolerance

A. Dry skin B. Brittle hair

A nurse is assessing a client for possible laryngeal nerve injury following a thyroidectomy. What action should the nurse implement on an hourly basis A. Ask the client to speak B. Instruct client to swallow C. Have the client hum a familiar tune D. Swab the clients throat to test the gag reflex

A. Ask the client to speak

When taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. The nurse notifies the HCP. Which should the nurse expect the HCP to prescribe A. Calcium B. Magnesium C. Bicarbonate D. Potassium chloride

A. Calcium

What clinical findings should the nurse expect when assessing a client with hyperthyroidism (SATA) A. Diarrhea B. Listlessness C. Weight loss D. Bradycardia E. Decreased

A. Diarrhea C. Weight loss

A nurse is caring for a newly admitted client with a diagnosis of graves disease. In preparing a teaching plan, the nurse anticipates which diet will be ordered for this client A. High calorie diet B. Low sodium diet C. High roughage diet D. Mechanical soft diet

A. High calorie diet

A nurse is caring for a client who is experiencing an underproduction of thyroxine. Which client response is associated with an underproduction of thyroxine (T4) A. Myxedma B. Acromegaly C. Graves disease D. Cushings disease

A. Myxedma

On the first postoperative day following a thyroidectomy, a client tolerates a full liquid diet. This is changed to a soft diet on the second postoperative day. The client reports having a sore throat when swallowing. What should the nurse do FIRST A. Reorder the full liquid diet B. Notify the HCP C. Administer analgesics as prescribed before meals D. Provide saline gargles to moisten the mucous membranes

C. Administer analgesics as prescribed before meals

A nurse is caring for a client after radioactive iodine is administered for Graves Disease. What information about the clients condition after this therapy should the nurse consider when providing care? A. Not radioactive and can be handled as any other individual B. Highly radioactive and should be isolated as much as possible C. Mildly radioactive but should be treated with routine safety precautions D. Not radioactive but may still transmit some dangerous radiations and must be treated with precautions

C. Mildly radioactive but should be treated with routine safety precautions

What should a nurse do immediately when a client returns from the PACU following a subtotal thyroidectomy A. Inspect the incision B. Instruct the client not to speak C. Place a tracheostomy at the bedside D. Place in the supine position for twenty four hours

C. Place a tracheostomy at the bedside

A client is scheduled to have a thyroidectomy. Which medication does the nurse anticipate the HCP will provide to decrease the size and vascularity of the thyroid gland before surgery? A. Vasopressin B. Propylthiouracil C. Potassium Iodide D. Levothyroxine

C. Potassium iodide

A nurse is caring for a client with and under-active thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodonthyronine (T3) and T4 (SATA) A. Irritability B. Tachycardia C. Weight Gain D. Cold intolerance E. Profuse sweating

C. Weight gain D. Cold intolerance