Thyroid

A nurse in a providers office is reviewing the health record of a client who is being evaluated for Grave's disease. the nurse should identify that which of the following lab results is an expected finding

Decreased thyroid-stimulating hormone

After treatment with radioactive iodine I, the nurse should teach the client to

take thyroxine replacement for the remainder of the clients life

The nurse is evaluating a client with hyperthyroidism who is taking Propylthiouracil (PTU) 100mg/day in three divided doses for maintenance therapy. Which statement from the client indicates the drug is effective

I am able to sleep and rest at night

The nurse correlates a positive Chvostek's sign to hypo-secretion of which hormone

Parathyroid hormone (PTH)

A nurse is providing instructions to a client who has Graves disease and has a new prescription for propranolol. Which of the following information should the nurse include

Take your pulse before each dose

A client with thyrotoxicosis says to the nurse "I am so irritable. I am having problems at work because I lose my temper very easily. Which response by the nurse would give the client the most accurate explanation of this behavior

Your behavior is caused by the excess thyroid hormone in your system

A nurse recognizes that which patient is at greatest risk for hypothyroidism

a 35 year old female... because hypothyroidism occurs mostly in woman between ages 30-60

The functions of the thyroid glands are under the direct control of which structure

anterior pituitary gland

Parathyroid glands control serum levels of which electrolyte

calcium

Which medication should be available to provide emergency treatment if a client develops tetany after a subtotal thyroidectomy

calcium gluconate

The nurse correlates which clinical manifestation to the pathophysiology of hypothyroidism?

cold intolerance

A client with hyperthyroidism is hospitalized to have a thyroidectomy. The health care provider has prescribed propranolol. In reviewing the clients history, the nurse notes that the client has asthma, the nurse should next

contact the HCP and discuss the prescription fro propranolol because of the clients history of having asthma

The nurse should assess a client with hypothyroidism for

decreased activity due to fatigue

A 34 year old female is diagnosed with hypothyroidism. What should the nurse assess the client for

decreased energy and fatigue, weight gain of 10 pounds, constipation, menorrhagia

The patient experiencing thyroid storm is ordered to receive beta-adrenergic agents. The nurse monitors for which therapeutic effect of these meds?

decreased heart rate

A nurse in a providers office is reviewing lab result of a client who is being evaluated for secondary hypothyroidism. Which of the following lab findings is expected for a client who has this condition

decreased serum T3

The nurse is administering a saturated solution of potassium iodine. The nurse should

dilute the solution with water, milk, or fruit

A nurse is assessing a client who is 12hr postoperative following a thyroidectomy, the nurse should identify which of the following finds as indicative of thyroid crisis

dyspnea, abdominal pain, mental confusion

The nurse monitors the calcium levels closely in the patient taking digoxin (lanoxin) because hypocalcemia may lead to which complication

dysrhythmias

A nurse in a providers office is assessing a client who has hypothyroidism and recently began treatment with thyroid hormone replacement therapy. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of medication

hand tremors

A nurse is reviewing the manifestations of hyperthyroidism with a client. which of the following findings should the nurse include

heat intolerance, palpitations, weight loss

The nurse prioritizes which nursing diagnosis in the patient after partial parathyroidectomy

high risk for ineffective airway clearance related to hypocalcemia

The nursing diagnosis "acute pain R/T ureteral pressure and obstruction secondary to calcium-containing renal stones" is most appropriate for the patient with which endocrine disorder

hyperparathyroidism

Synthesis of thyroid hormone is dependent upon adequate dietary intake of which of the following

iodine

following a subtotal thyroidectomy, the nurse asks the client to speak immediately upon regaining consciousness. The nurse does this to monitor of signs of

laryngeal nerve damage

Following thyroid surgery, the nurse frequently assess the patients ability to speak in order to monitor for which complication

laryngeal nerve injury

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. which of the following information should the nurse include in the teaching

medication should not be discontinued without the advice of the provider, follow up serum TSH levels should be obtained, take the medication on an empty stomach

a nurse is collecting an admission history from a female client who has hypothyroidism. Which of the following findings should the nurse expect

menorrhagia, dry skin, hoarseness

A nurse in a providers office is planning care for a client who has a new diagnosis of Graves disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care

monitor CBC, monitor triiodothyronine (T3), advise the client to take the med at the same time every day

A patient undergoes surgical resection of a thyroid tumor immediately following surgery, which intervention has the highest priority

monitoring respiratory status for sign of obstruction

When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism who has just started to take thyroid hormone replacement, the nurse should inform the client that those feelings are

most likely related to low thyroid hormone levels and will improve with treatment

One day following a subtotal thyroidectomy a client begins to have tingling in the fingers and toes. The nurse should first

notify the health care provider

A nurse in an ICU is planning care for a client who has myxedema coma. which of the following actions should the nurse include

observe cardiac monitor for dysrhythmias, observe for evidence of UTI, Initiate IV fluids using 0.9% sodium chloride, administer levothyroxine IV bolus

When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which changes in the menstrual cycle

oligomenorrhea

A client who has undergone a subtotal thyroidectomy is subject to complications in the first 48 hours after surgery. The nurse should obtain and keep at the bed side equipment to

perform a tracheotomy

A patient with thyroid cancer is receiving high dose radiation to the thyroid gland. During assessment of the patient, which clinical manifestation is consistent with hypocalcemia

positive Chvosteks sign

A client with a large goiter is scheduled for a subtotal thyroidectomy to treat thyrotoxicosis. Saturated solution of potassium iodide is prescribed preoperatively for the client. The expected outcome of using this drug is that it helps

reduce the vascularity of the thyroid gland

The nurse monitors for which complication in the patient with hyperparathyroidism

renal stones

a nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available

suction equipment, humidified oxygen, tracheostomy tray

The nurse is completing a health assessment of a 42 year old female with suspected graves disease. The nurse should assess the client for

tachycardia

The nurse is instructing the client with hypothyroidism who takes levothyroxine 100mcg, digoxin, and simvastatin. Teaching regarding the use of these meds is effective if the client will take

the levothyroxine before breakfast and the other meds 4 hours later

The nurse should teach the client with graves disease to prevent corneal irritation from mild exophthalmos by

wearing dark colored glasses

A 60 year old female is diagnosed with hypothyroidism. The nurse should assess for

weight gain

the nurse monitors for which finding in the patient with hyperthyroidism

weight loss, tachycardia, exophthalmos