Thyroid Quiz

Order: 0.5L NSS over 45 minutes. The nurse will use an IV tubing with a drop factor of 10. At how many gtt/min. will the nurse set the tubing?

111 gtt/min

Order: 1.5L Normosol-R to run over 8 hours. The nurse will use an IV tubing with a drop factor of 15. At how many gtt/min. will the nurse set the IV tubing?

47 gtt/min

After receiving change-of-shift report about the following four patients, which patient should the nurse assess first? a. A 22-year-old male patient admitted with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 130 mEq/L b. A 70-year-old female patient taking levothyroxine (Synthroid) who has an irregular pulse of 134 c. A 53-year-old male patient who has Addison's disease and is due for a prescribed dose of hydrocortisone (Solu-Cortef). d. A 31-year-old female patient with Cushing syndrome and a blood glucose level of 244 mg/dL

A 70-year-old female patient taking levothyroxine (Synthroid) who has an irregular pulse of 134

Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease? a. Antithyroid medications may take several months for full effect. b. Restriction of iodine intake is needed to reduce thyroid activity. c. Surgery will eventually be required to remove the thyroid gland. d. Exercise is contraindicated to avoid increasing metabolic rate.

Antithyroid medications may take several months for full effect

During the physical examination, the nurse cannot feel the patient's thyroid gland. What action should the nurse take? a. Document that the thyroid was nonpalpable. b. Notify the health care provider immediately. c. Teach the patient about thyroid hormone testing. d. Palpate the patient's neck more deeply.

Document that the thyroid was nonpalpable

A patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, for hypertension. What additional effect of the medication should the nurse monitor? a. Evidence of fluid overload b. Elevated serum potassium c. Increased serum sodium d. Decreased urinary output

Elevated serum potassium

A patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL. What should the nurse anticipate will be tested next? a. Thyroid hormone b. Catecholamine c. Calcitonin d. Parathyroid hormone

Parathyroid hormone

A patient who has hyperthyroidism is treated with radioactive iodine (RAI). What information should the nurse include in discharge teaching? a. Symptoms of hypothyroidism will occur as the RAI therapy takes effect. b. Discontinue the antithyroid medications that were taken before the RAI therapy. c. Symptoms of hyperthyroidism should be relieved in about a week. d. Take radioactive precautions with all body secretions.

Symptoms of hypothyroidism will occur as the RAI therapy takes effect

A registered nurse (RN) is caring for a patient with a goiter and possible hyperthyroidism. Which action by the RN indicates that the charge nurse needs to provide the RN with additional teaching? a. The RN orders saline eyedrops to lubricate the patient's bulging eyes. b. The RN palpates the neck to assess thyroid size. c. The RN lowers the thermostat to decrease the temperature in the room. d. The RN checks the blood pressure in both arms.

The RN palpates the neck to assess thyroid size

Which information about a patient who is scheduled for an oral glucose tolerance test should the nurse consider in interpreting the test results? a. The patient reports having occasional orthostatic dizziness. b. The patient takes oral corticosteroids for rheumatoid arthritis. c. The patient has had a 10 pound weight gain in the last month. d. The patient drank several glasses of water an hour previously.

The patient takes oral corticosteroids for rheumatoid arthritis

Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland? a. Thyroid-stimulating hormone (TSH) level b. Thyrotropin-releasing hormone (TRH) level c. Thyroxine (T4) level d. Triiodothyronine (T3) level

Thyroid-stimulating hormone (TSH) level

Which finding indicates to the nurse that demeclocycline is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH)? a. Weight has increased. b. Urine specific gravity is increased. c. Urinary output is increased. d. Peripheral edema is increased.

Urinary output is increased

Which problem should the nurse anticipate for a patient admitted to the hospital with diabetes insipidus? a. Fluid volume overload b. Decreased gas exchange c. Generalized edema d. Disturbed sleep pattern

Disturbed sleep pattern

Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis and a goiter will require the most immediate action? a. Resting apical pulse rate 112 beats/min b. Elevation in the patient's T3 and T4 levels c. Bruit audible bilaterally over the thyroid gland d. New-onset changes in the patient's voice

New-onset changes in the patient's voice

A 40-year-old patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? a. "Do you have to wear larger shoes now?" b. "Have you had a recent head injury?" c. "Is there a family history of acromegaly?" d. "Are you experiencing tremors or anxiety?"

"Do you have to wear larger shoes now?"

Which question from the nurse during a patient interview will provide focused information about a possible thyroid disorder? a. "Have you experienced any blurring or double vision?" b. "What methods do you use to help cope with stress?" c. "Have you had a recent unplanned weight gain or loss?" d. "Do you have to get up at night to empty your bladder?"

"Have you had a recent unplanned weight gain or loss?"

Which statement made by a 50-yr-old female patient indicates to the nurse that further assessment of thyroid function may be needed? a. "I get up several times at night to urinate." b. "I notice my breasts are always tender lately." c. "I feel a lump in my throat when I swallow." d. "I am so thirsty that I drink all day long."

"I feel a lump in my throat when I swallow."

A 56-year-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which initial laboratory result should the nurse expect? a. Elevated hematocrit b. Decreased serum sodium c. Increased serum chloride d. Low urine specific gravity

Decreased serum sodium

A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. What should the nurse include in preoperative teaching? a. You will be positioned flat with a cervical collar after surgery. b. Cough and deep breathe every 2 hours postoperatively. c. Remain on bed rest for the first 48 hours postoperatively. d. Avoid brushing teeth for at least 10 days after the surgery.

Avoid brushing teeth for at least 10 days after the surgery

What information will a review of a patient's glycosylated hemoglobin (A1C) results provide to the nurse? a. Glucose control over the past 90 days b. Glucose levels 2 hours after a meal c. Hypoglycemic episodes in the past 3 months d. Fasting preprandial glucose levels

Glucose control over the past 90 days