Med Surg 1 Chapter 63 Care of Patients with Problems of the Thyroid and Parathyroid Glands
Patients at risk for peptic ulcer
Increased- serum calcium levels, Increased- Parathyroid hormone (PTH) levels Increased- Serum gastrin levels Decreased - serum phosphorus level
The registered nurse is teaching a student nurse about the care plan for a patient with hypoparathyroidism. Which statement made by the student nurse indicates a need for further teaching?
"I will explain to the patient that hypocalcemia therapy is short-term."
A patient with thyroid cancer has just received131I ablative therapy. Which statement by the patient indicates a need for further teaching?
"I'm ready to hold my newborn grandson now."
A patient has been prescribed radioactive iodine (RAI) therapy for hyperthyroidism. What does the nurse teach the patient about this therapy?
"You will receive RAI in the form of oral131I."
What food is appropriate for the patient with hypoparathyroidism to include in the diet?
Soy Milk
The primary health care provider prescribes intravenous phosphates to a patient with hyperparathyroidism. The patient reports tingling and numbness in the muscles after the treatment. What could be the reason behind this?
Sudden drop in serum calcium levels
Which condition should the nurse suspect in a patient who has undergone parathyroidectomy?
Hypocalcemia
Which patient with parathyroid disorder is at risk of coma?
A patient with serum calcium levels of 14 mg/dL
The nurse teaches a patient with hyperparathyroidism about actions the patient can take specifically aimed at reducing the incidence of renal calculi. Which action by the patient indicates effective learning?
Drinks large amounts of water and fluids
While assessing a patient with hypoparathyroidism, the nurse observes tingling and numbness of the hands and feet. Which condition does the nurse suspect?
Moderate hypocalcemia
The nurse is caring for a patient receiving hydration therapy. What does the nurse expect if there is a sudden drop in calcium levels?
Muscle numbness
What type of anemia is associated with idiopathic hypoparathyroidism?
Pernicious anemia
What manifestation does the nurse expect to find in a patient with hyperparathyroidism?
Presence of renal calculi
The nurse is caring for a patient with hypocalcemia due to hypoparathyroidism. What is the cause of iatrogenic hypoparathyroidism?
Removal of the parathyroid glands
A patient diagnosed with hypothyroidism is prescribed levothyroxine sodium. What instruction does the nurse provide to the patient about this treatment?
The patient must take the drug exactly as prescribed.
A patient has hyperparathyroidism. Which incident witnessed by the nurse requires the nurse's intervention?
Unlicensed assistive personnel (UAP) pulling the patient up in bed by the shoulders
A patient with Graves' disease can potentially develop thyroid storm. What factor can trigger thyroid storm in the patient?
Vigorous palpation of the goiter
A patient is prescribed 50,000 units of ergocalciferol daily. What disorder does this drug treat?
Vitamin D deficiency
