CH 63 EAQ

Family members of a patient diagnosed with hyperthyroidism voice concern regarding the patient's frequent mood swings. How should the nurse respond to the family members? 'How does that make you feel?' 'The mood swings should diminish with treatment.' 'Your family member is sick. You must be patient.' 'The medications will make the mood swings disappear completely.'

'The mood swings should diminish with treatment.'

A patient is being discharged with propylthiouracil (PTU). Which statement by the patient indicates a need for further teaching by the nurse? 'I must call if my urine is dark.' 'I need to report weight gain.' 'I can return to my job at the nursing home.' 'I must faithfully take the drug every 8 hours.'

'I can return to my job at the nursing home.'

A patient being treated for hyperthyroidism calls the home health nurse and mentions that his heart rate is slower than usual. What is the nurse's best response? Advise the patient to go to a calming environment. Ask whether the patient has increased cold sensitivity or weight gain. Instruct the patient to see his health care provider immediately. Tell the patient to check his pulse again and call back later.

Ask whether the patient has increased cold sensitivity or weight gain.

The nurse reviews the vital signs of a patient diagnosed with Graves' disease. The patient's temperature is up to 99.6° F. After notifying the health care provider, what does the nurse do next? Asks any visitors to leave. Administers acetaminophen. Alerts the Rapid Response Team. Assesses the patient's cardiac status completely.

Assesses the patient's cardiac status completely.

Which autoimmune disorder may be triggered by a bacterial or viral infection? Graves' disease Thyroid cancer Myxedema coma Hashimoto's disease

Hashimoto's disease

A patient had a parathyroidectomy 18 hours ago. Which finding requires immediate attention? Sore throat Hoarseness Pain on moving the head Edema at the surgical site

Hoarseness

What manifestations does the nurse expect to find in a patient with hypothyroidism? Select all that apply. Some correct answers were not selected Oily hair Husky voice Thick tongue Pitting edema Mucinous edema

Husky voice Thick tongue Mucinous edema

While assessing a patient with an endocrine disorder, the nurse hears an audible bruit over the thyroid gland. The presence of a mass or cyst is noted on the patient's ultrasound report. The primary health care provider prescribes radioactive iodine. What condition might the patient be experiencing? Hypothyroidism Hyperthyroidism Hypoparathyroidism Hyperparathyroidism

Hyperthyroidism

What type of parathyroid disorder would the nurse expect to find in patients with chronic kidney disease? Hypocalcemia Hypomagnesemia Hyperparathyroidism Iatrogenic hypoparathyroidism

Hypomagnesemia

Which electrolyte disturbance causes hypoparathyroidism? Hyperkalemia Hyponatremia Hypercalcemia Hypomagnesemia

Hypomagnesemia

What are the causes of hypoparathyroidism? Select all that apply. Some correct answers were not selected Hypocalcemia Hypomagnesemia Vitamin D deficiency Congenital dysgenesis Congenital hyperplasia

Hypomagnesemia Congenital dysgenesis

Which symptom is usually present with mild to moderate hypocalcemia? Seizures Numbness Incontinence Muscle cramps

Numbness

A patient diagnosed with hypothyroidism is prescribed levothyroxine sodium. What instruction does the nurse provide to the patient about this treatment? The treatment lasts for a year. A fixed dose is maintained throughout the treatment. The patient must take the drug exactly as prescribed. The patient must be assessed for fever during the initiation of therapy.

The patient must take the drug exactly as prescribed.

Which assessment finding does the nurse associate with Graves' disease? Increased sweating Intolerance to heat Dyspnea with or without exertion Abnormal protrusion of the eyes

Abnormal protrusion of the eyes

Which are common symptoms of hypothyroidism? Select all that apply. Some correct answers were not selected Anorexia Hot flashes Hypertension Hyperventilation Impaired memory Poor wound healing

Anorexia Impaired memory Poor wound healing

What is the most common cause of hyperparathyroidism? Chronic kidney disease Cancer of the parathyroid glands Neck or head radiation exposure Benign tumor in a parathyroid gland

Benign tumor in a parathyroid gland

What class of drugs is most appropriate for treating hyperparathyroidism? Diuretics Hormones Calcimimetics Glucocorticoids

Calcimimetics

A patient is suspected of having hyperparathyroidism. Which treatment strategy would be therapeutically effective in this patient? Calcitonin Furosemide Intravenous phosphates Calcitonin with glucocorticoids

Calcitonin with glucocorticoids

What is the treatment modality for acute vitamin D deficiency? Calcium chloride 10% Calcitriol 0.5-2 mg daily Ergocalciferol oral 50,000-400,000 units daily Magnesium sulfate 2 mL doses daily intravenously

Calcitriol 0.5-2 mg daily

Upon reviewing the medical reports of a patient with hypoparathyroidism, the nurse notices the serum calcium level as 8 mg/dL. What would be the appropriate long-term therapy in this patient? Calcium Calcitriol Calcitonin Cinacalcet

Calcium

The nurse knows to assess serum calcium levels for the patient with hyperparathyroidism because of which mechanism? Increased osteoblastic activity in the bone Decreased osteoclastic activity in the bone Increased reabsorption of calcium by the kidneys Increased reabsorption of phosphate by the kidneys

Increased reabsorption of calcium by the kidneys

A patient with hypothyroidism is being discharged. Which environmental change may need to be made in the patient's home. Frequent home care Handrails in the bath Increased thermostat setting Strict infection-control measures

Increased thermostat setting

A patient who is receiving thyroid replacement therapy for hypothyroidism reports constipation and insomnia. What should be included in this patient's plan of care? Administering sedatives Increasing fiber in the diet Increasing the medication dose Discontinuing thyroid treatment

Increasing the medication dose

A patient has been diagnosed with hypothyroidism. What medication is routinely prescribed to treat this disorder? Atenolol Methimazole Levothyroxine sodium Propylthiouracil (PTU)

Levothyroxine sodium

Which type of thyroid cancer often occurs as part of multiple endocrine neoplasia (MEN) type II? Follicular Papillary Medullary Anaplastic

Medullary

A patient recently admitted with hyperparathyroidism has a very high urine output during the previous shift. Of these actions, what does the nurse do next? Slows the rate of IV fluids. Monitors intake and output. Calls the health care provider. Performs an immediate cardiac assessment.

Monitors intake and output.

The nurse is caring for a patient receiving hydration therapy. What does the nurse expect if there is a sudden drop in calcium levels? Nausea Constipation Epigastric pain Muscle numbness

Muscle numbness

What is the most common cause of hypothyroidism in the United States? Intake of tyrosine Consumption of saltwater fish Reduced intake of iodide Radioactive iodine treatment

Radioactive iodine treatment

What should the nurse be aware of when caring for a patient with acute thyroiditis? It is caused by a viral infection of the thyroid gland. It is usually triggered by a bacterial or viral infection. The condition is usually resolved with antibiotic therapy. The thyroid gland feels hard and enlarged on palpation.

The condition is usually resolved with antibiotic therapy.

A patient's preliminary thyroid function test reveals a decrease in serum triiodothyronine (T 3) and tetraiodothyronine (T 4) hormone levels, which might indicate hypothyroidism. What other parameter should be assessed to determine the origin of hypothyroidism as primary or secondary? Free T 4index Thyrotropin receptor antibodies (TRAb) Thyroid-stimulating immunoglobulins (TSI) Thyroid-stimulating hormone (TSH) stimulation test

Thyroid-stimulating hormone (TSH) stimulation test

What is hyperplasia? Cellular decay Tissue overgrowth Excessive hydration Tingling and numbness

Tissue overgrowth

The nurse is caring for a patient diagnosed with Graves' disease. Which other term is used to define the patient's condition? Toxic diffuse goiter Hypothyroidism Toxic multinodular goiter Exogenous hyperthyroidism

Toxic diffuse goiter

What should be suspected in a 60-year-old female patient diagnosed with a goiter who does not display signs of exophthalmos and pretibial myxedema? Graves' disease Hypothyroidism Hashimoto's thyroiditis Toxic multinodular goiter

Toxic multinodular goiter

The nurse is evaluating how well a patient understands the hormonal replacement therapy that has been prescribed for the management of hypothyroidism. Which patient statement indicates a need for further teaching? 'I should get my thyroid levels checked regularly.' 'I should consume more fluids and foods rich in fiber.' 'I can stop taking my medications when I feel better.' 'I should not take any over-the-counter medications without checking with my health care provider first.'

'I can stop taking my medications when I feel better.'

The nurse is evaluating how well a patient understands the hormonal replacement therapy that has been prescribed for the management of hypothyroidism. Which patient statement indicates a need for further teaching? -'I should get my thyroid levels checked regularly.' -'I should consume more fluids and foods rich in fiber.' -'I can stop taking my medications when I feel better.' -'I should not take any over-the-counter medications without checking with my health care provider first.'

'I can stop taking my medications when I feel better.'

The nurse is providing instructions about dietary changes to a patient with hypoparathyroidism. Which statements made by the patient indicates effective learning? Select all that apply. Some correct answers were not selected 'I will avoid milk.' 'I will avoid yogurt.' 'I will avoid almonds.' 'I will avoid processed cheese.' 'I will avoid green leafy vegetables.'

'I will avoid milk.' 'I will avoid yogurt.' 'I will avoid processed cheese.'

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 counsel the patient to help decrease the anxiety.' 'I will advise the patient to wear a medical alert bracelet.' 'I will explain to the patient that hypocalcemia therapy is short-term.' 'I will teach the patient about the necessary dietary changes to increase calcium intake and decrease phosphorous intake.'

'I will explain to the patient that hypocalcemia therapy is short-term.'

The registered nurse is teaching a student nurse about caring for a patient with hyperparathyroidism. Which statement made by the student nurse indicates a need for further teaching? 'I will use a lift sheet to reposition the patient.' 'I will teach the patient to eat foods high in calcium and low in phosphorus.' 'I will inform the primary health care provider if an abnormal heart rate is observed.' 'I will inform the primary health care provider if there is a sudden drop of serum calcium levels.'

'I will teach the patient to eat foods high in calcium and low in phosphorus.'

A patient with thyroid cancer has just received 131I ablative therapy. Which statement by the patient indicates a need for further teaching? 'I cannot share my toothpaste with anyone.' 'I must flush the toilet three times after I use it.' 'I'm ready to hold my newborn grandson now.' 'I need to wash my clothes separately from everyone else's clothes.'

'I'm ready to hold my newborn grandson now.'

The nurse is teaching a patient about thyroid replacement therapy. Which statement by the patient indicates a need for further teaching? 'I should take it every morning.' 'I should have more energy with this medication.' 'If I continue to lose weight, I may need an increased dose.' 'If I gain weight and feel tired, I may need an increased dose.'

'If I continue to lose weight, I may need an increased dose.'

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 oral 131I.' 'This treatment is done on an inpatient basis.' 'The radiation dose will be eliminated within a week.' 'You will have complete relief from symptoms in 1 week.'

'You will receive RAI in the form of oral 131I.'

A patient is prescribed radioactive iodine (RAI) therapy for hyperthyroidism. What safety precautions should the nurse teach the patient? Select all that apply. Some correct answers were not selected Avoid fruits with a core and meat with bones. Use a separate toilet for at least 2 weeks after RAI therapy. Use a laxative on the second and third day after RAI therapy. Discard disposable tissues in sealed plastic bags along with other garbage. Avoid using the family washing machine; hand-wash all clothes.

Avoid fruits with a core and meat with bones. Use a separate toilet for at least 2 weeks after RAI therapy. Use a laxative on the second and third day after RAI therapy.

A patient diagnosed with hypothyroidism has been prescribed hormone replacement therapy. What does the nurse teach the patient about this therapy? Include fiber supplements in the diet. Take the prescribed therapy before bedtime. Avoid taking over-the-counter (OTC) drugs. Monitor urine frequency for therapy effectiveness.

Avoid taking over-the-counter (OTC) drugs.

What are the possible findings of a radiographic analysis performed on a patient with hyperparathyroidism? Select all that apply. Some correct answers were not selected Bone cysts Renal calculi Osteoporosis Osteopetrosis Osteosclerosis

Bone cysts Renal calculi Osteoporosis

What is the consequence of the action of the parathyroid hormone on the kidneys? Calcium excretion and phosphorus excretion Calcium reabsorption and phosphorus excretion Calcium excretion and phosphorus reabsorption Calcium reabsorption and phosphorus reabsorption

Calcium reabsorption and phosphorus excretion

Which causes of hypothyroidism result from a decrease in thyroid tissue? Select all that apply. Endemic iodine deficiency Congenital pituitary defects Cancer (thyroidal or metastatic) Autoimmune thyroid destruction Congenital poor thyroid development Pituitary tumors, trauma, infections, or infarcts

Cancer (thyroidal or metastatic) Autoimmune thyroid destruction Congenital poor thyroid development

Which problems commonly occur with myxedema? Select all that apply. Some correct answers were not selected Coma Hypertension Hypothermia Hypoglycemia Hypernatremia Respiratory failure

Coma Hypothermia Hypoglycemia Respiratory failure

What is a common cause of hypoparathyroidism? Neck trauma Hypocalcemia Vitamin K deficiency Congenital dysgenesis

Congenital dysgenesis

What is a common cause of hyperparathyroidism? Hypercalcemia Hypomagnesaemia Hypophosphatemia Congenital hyperplasia

Congenital hyperplasia

What assessment finding indicates a possibility of hyperthyroidism in a patient? Intolerance to cold Decreased appetite Heart rate of 54 beats/min Considerable loss of weight without dieting

Considerable loss of weight without dieting

The nurse teaches a patient with hyperparathyroidism about actions the patient can take to specifically reduce the incidence of renal calculi. Which action by the patient indicates effective learning? Reduces alcohol ingestion Drinks large amounts of water and fluids Includes fiber-containing foods in the diet Reduces the consumption of caffeinated drinks

Drinks large amounts of water and fluids

Which physiological effect does the nurse expect to find in a patient with thyroiditis? Dysphagia Weight gain Heat intolerance Cold intolerance

Dysphagia

The nurse expects what assessment findings in a patient with thyroid cancer? Select all that apply. Some correct answers were not selected Dyspnea Dysphagia Hoarseness Heat intolerance Muscle weakness

Dyspnea Dysphagia Hoarseness

A patient admitted with hyperthyroidism is fidgeting with the bedcovers and talking extremely fast. Based on the patient's symptoms, what should the nurse do? Call the provider Tell the patient to slow down Encourage the patient to rest Immediately assesse cardiac status

Encourage the patient to rest

The nurse is examining the eyes of a patient and notes that the upper eyelid fails to descend when the patient slowly gazes downward. What term does the nurse use to document this finding? Eyelid lag Globe lag Photophobia Exophthalmos

Eyelid lag

Which condition should the nurse suspect in a patient who has undergone parathyroidectomy? Hypocalcemia Hyponatremia Hypercalcemia Hypophosphatemia

Hypocalcemia

What post-thyroidectomy complications does the nurse suspect in a patient who complains in a hoarse voice of difficulty breathing and a tingling sensation around the mouth? Select all that apply. Some correct answers were not selected Tetany Thyroid storm Hypocalcemia Respiratory distress Laryngeal nerve damage

Hypocalcemia Respiratory distress Laryngeal nerve damage

What are the following pathophysiological events in the correct sequence of occurrence in a patient with hyperthyroidism? 1. Increased heart rate 2. Increased systolic blood pressure 3. Increased cardiac output 4. Increased stroke volume

Increased heart rate Increased stroke volume Increased cardiac output Increased systolic blood pressure

Which are symptoms of hyperthyroidism? Select all that apply. Some correct answers were not selected Insomnia Palpitations Low-grade fever Slowed respiration Decreased appetite Restlessness and irritability

Insomnia Palpitations Low-grade fever Restlessness and irritability

A patient has undergone a total thyroidectomy. What postoperative care does the nurse provide? Provide oxygen to promote respiration. Inspect the back of the neck and the dressing for blood. Ask the patient to cough out any respiratory secretions. Monitor vital signs every 30 minutes until the patient is stable.

Inspect the back of the neck and the dressing for blood.

A patient with hyperparathyroidism is prescribed calcitonin with glucocorticoids. How does this drug work to lower serum calcium levels? It prevents bone resorption. It lowers the levels of free calcium. It interferes with calcium absorption. It reduces the release of skeletal calcium.

It reduces the release of skeletal calcium.

Which safety precaution is appropriate for the patient receiving an unsealed radioactive isotope? Stand while urinating. Avoid the use of laxatives. Flush the toilet once after each use. Maintain at least 3 ft of distance from infants.

Maintain at least 3 ft of distance from infants.

The nurse is assessing a patient for hypothyroidism. What findings indicate the presence of hypothyroidism in the patient? Select all that apply. Some correct answers were not selected Insomnia Muscle aches Hyperactivity Difficulty in speech Intolerance to cold

Muscle aches Difficulty in speech Intolerance to cold

The nurse is monitoring a patient who had a thyroidectomy. What manifestation indicates injury to the parathyroid gland? Weak voice Hemorrhage Hoarseness Muscle twitching

Muscle twitching

Which assessment finding is considered a grade 1 goiter? No bruits upon auscultation of the neck No visible or palpable swallowing movements Easily palpable and usually asymmetric thyroid enlargement No visible thyroid enlargement when the neck is in a normal position

No visible thyroid enlargement when the neck is in a normal position

The condition of a pregnant patient with hyperthyroidism rapidly worsens and leads to thyroid storm. What are the appropriate drugs and their sequence of administration? Oral administration of Lugol's solution 1hour after methimazole Oral administration of Lugol's solution 1 hour after propylthiouracil Simultaneous oral administration of Lugol's solution and methimazole Simultaneous oral administration of Lugol's solution and propylthiouracil

Oral administration of Lugol's solution 1 hour after propylthiouracil

The registererd nurse (RN) has just received a change-of-shift report on the medical-surgical unit. Which patient should be assessed first? Patient with Hashimoto's thyroiditis and a large goiter Patient with hypothyroidism and an apical pulse of 51 beats/min Patient who had a parathyroidectomy yesterday and has muscle twitching Patient with parathyroid adenoma and flank pain due to a kidney stone

Patient who had a parathyroidectomy yesterday and has muscle twitching

The nurse manager for the medical-surgical unit is making staff assignments. Which patient will be most appropriate to assign to a newly graduated registered nurse (RN) who has completed a 6-week unit orientation? Patient with chronic hypothyroidism and dementia who takes levothyroxine daily Patient with follicular thyroid cancer who has vocal hoarseness and difficulty swallowing Patient with Graves' disease who is experiencing increasing anxiety and diaphoresis Patient with hyperparathyroidism who has just arrived on the unit after a parathyroidectomy

Patient with chronic hypothyroidism and dementia who takes levothyroxine daily

The primary health care provider prescribes cinacalcet to a patient with hyperparathyroidism; however, the patient failed to respond to the medication. What is the alternative treatment of choice for this patient? Calcitonin Phosphates Glucocorticoids Mineralocorticoids

Phosphates

Which manifestation is a hallmark sign of hyperthyroidism? Eye fatigue Weight loss Increased libido Poor thermoregulation

Poor thermoregulation

What postoperative assessment finding in a patient who underwent a parathyroidectomy indicates potential tetany? Voice pattern changes Positive for Trousseau's test Serum calcium level of 9.5 mg/dL Tingling in the extremities and face

Positive for Trousseau's test

The nurse is caring for a patient with hypocalcemia due to hypoparathyroidism. What is the cause of iatrogenic hypoparathyroidism? Chronic kidney disease Malabsorption syndromes Low serum magnesium levels Removal of the parathyroid glands

Removal of the parathyroid glands

What intervention is appropriate when caring for a patient during myxedema coma? Replacing fluids with intravenous (IV) normal saline Maintaining a reduced room temperature Monitoring temperature every 2 hours Monitoring blood pressure every half hour

Replacing fluids with intravenous (IV) normal saline

The nurse assigns an unlicensed assistive personnel (UAP) to monitor the temperature of a patient with Graves' disease. What does the nurse instruct the UAP to do? Monitor the patient's temperature every 6 hours. Document the findings and report them at the end of the shift. Report even a 1-degree Fahrenheit increase in temperature immediately. It is normal for the patient to have an elevated temperature.

Report even a 1-degree Fahrenheit increase in temperature immediately.

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 Sudden drop in serum magnesium levels Sudden drop in serum phosphorus levels Sudden drop in serum parathyroid hormone (PTH) levels

Sudden drop in serum calcium levels

A patient has hyperparathyroidism. Which incident witnessed by the nurse requires the nurse's intervention? Visitors talking with the patient about going home The patient eating a morning meal of cereal and fruit The physical therapist walking with the patient in the hallway Unlicensed assistive personnel (UAP) pulling the patient up in bed by the shoulders

Unlicensed assistive personnel (UAP) pulling the patient up in bed by the shoulders

A patient receives a diagnostic workup of laboratory tests to check for hyperparathyroidism. Which findings indicate an increased risk of hyperparathyroidism? Select all that apply. Some correct answers were not selected Urine cAMP 52.7 nmol/L Serum calcium 4.0 mg/dL Serum magnesium 3.8 mEq/L Serum phosphorus 3.2 mg/dL Serum parathyroid hormone C-terminal 450 pg/mL

Urine cAMP 52.7 nmol/L Serum magnesium 3.8 mEq/L Serum parathyroid hormone C-terminal 450 pg/mL

What integumentary change does the nurse expect while assessing the skin of a patient with hyperparathyroidism? Waxy pallor Diaphoresis Soft body hair Cool, dry skin

Waxy pallor

The nurse educates the patient with hypoparathyroidism about dietary intake and nutrition. Which food selection made by the patient indicates further teaching is required? Rice with beans Yogurt with banana Apple with peanut butter Chicken breast with salad

Yogurt with banana

A patient is taking methimazole for hyperthyroidism and would like to know how soon this medication will begin working. What is the nurse's best response? 'You should see effects of this medication immediately.' 'You should see effects of this medication within 1 week.' 'You should see full effects from this medication within 1-2 days.' 'You should see some effects of this medication within 2 weeks.'

You should see some effects of this medication within 2 weeks.'

A nurse is assessing a patient suspected of having hyperparathyroidism. Which questions asked by the nurse would be helpful to assess the patient? Select all that apply. Some correct answers were not selected 'Do you have a history of diabetes?' 'Do you have a history of fractures?' 'Do you have a history of joint pain?' 'Do you have a history of weight gain?' 'Do you have a history of radiation therapy to the neck?'

'Do you have a history of fractures?' 'Do you have a history of joint pain?' 'Do you have a history of fractures?' 'Do you have a history of joint pain?'

The nurse assesses a patient who presents with symptoms of hyperparathyroidism. Which questions does the nurse ask the patient during the assessment? Select all that apply. Some correct answers were not selected 'Do you have any bone fractures?' 'Do you have a history of lung infections?' 'Have you lost or gained any weight recently?' 'Have you had any blood transfusions in your lifetime?' 'Have you received any radiation treatment to the neck or head?'

'Do you have any bone fractures?' Have you lost or gained any weight recently?' 'Have you received any radiation treatment to the neck or head?'

A patient diagnosed with parathyroid cancer is prescribed cinacalcet. Arrange the sequence in order of how the drug helps treat the condition. 1. Decreases serum calcium levels 2. Drug binds to calcium-sensitive receptors 3. Decreased parathyroid hormone-induced bone complications 4. Reduces parathyroid hormone production (PTH) and release

1. Drug binds to calcium-sensitive receptors 2. Reduces parathyroid hormone production (PTH) and release 3. Decreases serum calcium levels 4. Decreased parathyroid hormone-induced bone complications

Place these steps in the correct order of occurrence, in regards to the action of the drug cinacalcet. 1. Binding to calcium-sensitive receptors 2. Decreased serum calcium levels 3. Reduction in the parathyroid hormone production 4. Decreased progression of parathyroid hormone induced bone complications

1.Binding to calcium-sensitive receptor 2. Binding to calcium-sensitive receptors 3. Decreased serum calcium levels 4. Decreased progression of parathyroid hormone induced bone complications

A patient is diagnosed with hypoparathyroidism. Which prescribed intervention will treat symptoms that include severe muscle cramps, spasms of the hands and feet, and seizures? 0.5 to 2 mg of oral calcitriol daily 50,000 units of oral ergocalciferol daily 10% solution of intravenous calcium chloride for 10 to 15 minutes 50% solution of intravenous magnesium sulfate in 2-mL doses, up to 4 g daily

10% solution of intravenous calcium chloride for 10 to 15 minutes

A patient underwent a parathyroid function test, and the results were serum calcium of 12 mg/dL and serum magnesium of 3 mEq/L. What levels of serum phosphorus should the nurse expect? 2 mg/dL 3 mg/dL 4 mg/dL 5 mg/dL

2 mg/dL

The nurse is caring for four patients with different health conditions. Which patient is most likely to develop psychotic behavior? 33-year-old female receiving treatment for thyroid storm 60-year-old male recovering from a hip replacement 53-year-old female receiving radiation therapy for breast cancer 48-year-old being treated with intravenous antibiotics for cellulitis

33-year-old female receiving treatment for thyroid storm

A patient who underwent a thyroid scan tested positive for multiple thyroid nodules. What percentage (%) of radioactive iodine uptake (RAIU) by the thyroid gland does the nurse anticipate? 5% 15% 30% 50%

50%

Which patient with parathyroid disorder is at risk of coma? A patient with serum calcium levels of 8 mg/dL A patient with serum calcium levels of 10 mg/dL A patient with serum calcium levels of 12 mg/dL A patient with serum calcium levels of 14 mg/dL

A patient with serum calcium levels of 14 mg/dL

The nurse is providing emergency care to a patient experiencing thyroid storm. What actions should the nurse take? Select all that apply. Some correct answers were not selected Reduce fluid intake. Provide a warm blanket for comfort. Administer antithyroid drugs as prescribed. Place the patient on a continuous heart monitor. Maintain a patent airway and adequate ventilation.

Administer antithyroid drugs as prescribed. Place the patient on a continuous heart monitor. Maintain a patent airway and adequate ventilation.

What is the consequence of the action of parathyroid hormone on the bones? Increased osteoblastic activity Unaltered osteoblastic activity Decreased osteoblastic activity Decreased osteoclastic activity

Decreased osteoblastic activity

The primary health care provider prescribes 400,000 units of oral ergocalciferol to a patient with hypoparathyroidism. Which assessment finding supports the intervention? Decreased serum calcium levels Decreased serum vitamin D levels Decreased serum magnesium levels Decreased serum phosphorous levels

Decreased serum vitamin D levels

A patient presents with palpitations and dysrhythmias, fatigue, and weight loss. During the physical exam, the nurse notes abnormal protrusion of the eyes, and a dry, waxy swelling on the front surfaces of the lower legs. What does the nurse suspect the patient is experiencing? Diabetes Renal failure Graves disease Congestive heart failure

Graves disease

What is the most common form of hypoparathyroidism? Idiopathic Iatrogenic Hypomagnesemia Hypophosphatemia

Iatrogenic

What parathyroid disorder is associated with a total thyroidectomy? Hypercalcemia Hypomagnesemia Idiopathic hypoparathyroidism Iatrogenic hypoparathyroidism

Iatrogenic hypoparathyroidism

What does the nurse teach a patient with hypoparathyroidism about treating hypocalcemia? Include foods that are high in calcium. Include milk, yogurt, and cheese in the daily diet. Long-term oral therapy for calcium is 2 to 4 g daily. Treatment is stopped after desired calcium levels are achieved.

Include foods that are high in calcium.

A nurse is assessing a patient with a goiter due to hypothyroidism. What factor causes a goiter in this patient? Presence of nodules or benign tumors Presence of thyroid-stimulating immunoglobulins (TSI) Increase in the number and size of thyroid glandular cells Increase in the production of thyroid-stimulating hormones (TSH)

Increase in the production of thyroid-stimulating hormones (TSH)

What does the nurse expect to find when assessing a patient with hyperthyroidism? Weight gain Increased appetite Increased body fat Decreased blood glucose

Increased appetite

Which conditions can be suspected in a patient with hypomagnesemia? Select all that apply. Some correct answers were not selected Malnutrition Pernicious anemia Adrenal insufficiency Chronic kidney disease Malabsorption syndrome

Malnutrition Chronic kidney disease Malabsorption syndrome

An older patient with an elevated serum calcium level is receiving IV furosemide and an infusion of normal saline at 150 mL/hr. Which nursing action can the registered nurse (RN) delegate to unlicensed assistive personnel (UAP)? Monitor the patient for shortness of breath. Ask the patient about any numbness or tingling. Check for bone deformities in the patient's back. Measure the patient's intake and output hourly.

Measure the patient's intake and output hourly.

A patient with hyperparathyroidism is being treated with cinacalcet. The primary health care provider wants the patient to discontinue cinacalcet and begin furosemide. Which condition does the nurse suspect? Parathyroid carcinoma Mild hyperparathyroidism Severe primary hyperparathyroidism Severe secondary hyperparathyroidism

Mild hyperparathyroidism

Which action does the postanesthesia care unit (PACU) nurse perform first when caring for a patient who has just arrived after a total thyroidectomy? Assess the wound dressing for bleeding. Give morphine sulfate 4-8 mg IV for pain. Support the head and neck with sandbags. Monitor oxygen saturation using pulse oximetry.

Monitor oxygen saturation using pulse oximetry.

Which nursing intervention is beneficial for a patient with hyperthyroidism? Checking the patient's body weight daily Encouraging the patient to use artificial tears Monitoring the patient's body temperature every 4 hours Asking the patient about tingling around the mouth, toes or fingers

Monitoring the patient's body temperature every 4 hours

Which pharmacological interventions are best suited for a patient diagnosed with hypoparathyroidism? Select all that apply. Some correct answers were not selected Oral administration of calcitriol Oral administration of cinacalcet Intravenous administration of phosphates Intravenous administration of 10% calcium chloride Intravenous administration of 50% magnesium sulfate

Oral administration of calcitriol Intravenous administration of 10% calcium chloride Intravenous administration of 50% magnesium sulfate

The nurse is preparing the room for the patient returning from a thyroidectomy. Which items are important for the nurse to have available for this patient? Select all that apply. Some correct answers were not selected Oxygen Suction Furosemide Hypertonic saline Calcium gluconate Emergency tracheotomy kit

Oxygen Suction Calcium gluconate Emergency tracheotomy kit

Which is the most common type of thyroid cancer in younger women? Select all that apply Some correct answers were not selected Papillary carcinoma Follicular carcinoma Medullary carcinoma Anaplastic carcinoma

Papillary carcinoma

Which statement describes hypoparathyroidism? It is a temporary condition. Symptoms are not present. There are no treatments for it. Parathyroid function is reduced.

Parathyroid function is reduced.

What finding during the physical assessment of a patient does the nurse associate with hypoparathyroidism? Intolerance to heat Decreased attention span Presence of bands on the teeth Wide-eyed or startled appearance

Presence of bands on the teeth

What manifestation does the nurse expect to find in a patient with hyperparathyroidism? Weight gain Presence of renal calculi Decreased serum gastrin Serum calcium less than 9 mg/dL

Presence of renal calculi

What is the nursing priority for a patient with chronic hyperparathyroidism? Preventing injury Reducing stimulation Encouraging exercise Reducing room temperature

Preventing injury

The nurse observes that the serum calcium level for a patient with hyperparathyroidism is 12.5 mg/dL. Which other health problems can this condition lead to? Select all that apply. Some correct answers were not selected Psychosis Weight gain Osteoporosis Hyperactivity Peptic ulcer formation

Psychosis Osteoporosis Peptic ulcer formation

The nurse delegates the task of providing comfort to a patient with Graves' disease to an unlicensed assistive personnel (UAP). What instruction should the nurse give to the UAP? Select all that apply. Some correct answers were not selected Reduce the room temperature. Allow visitors to keep the patient company. Provide warm showers or a sponge bath at regular intervals. Ensure that the patient always has a fresh pitcher of ice water. Change the bed linen whenever it becomes damp from diaphoresis.

Reduce the room temperature. Ensure that the patient always has a fresh pitcher of ice water. Change the bed linen whenever it becomes damp from diaphoresis.

A nurse is caring for a patient with hyperparathyroidism. Which laboratory finding indicates a high risk of psychosis? Serum calcium 15 mg/dL Serum phosphorus 3.1 mg/dL Serum magnesium 2.1 mEq/L Serum parathyroid hormone 60 pg/mL

Serum calcium 15 mg/dL

The nurse is assessing a patient with a parathyroid disorder. Which laboratory values would be associated with a diagnosis of hypoparathyroidism? Select all that apply. Some correct answers were not selected Serum calcium level of 9.5 mg/dL Serum magnesium level of 1 mEq/L Serum phosphorus level of 6.5 mg/dL Serum parathyroid hormone level of 50 pg/mL Urine cyclic adenosine monophosphate (cAMP) level of 17 nmol/L

Serum magnesium level of 1 mEq/L Serum phosphorus level of 6.5 mg/dL Urine cyclic adenosine monophosphate (cAMP) level of 17 nmol/L

While assessing a patient with hypoparathyroidism, the nurse observes severe muscle cramps and elbow flexion. Which condition does the nurse suspect? Severe hypocalcemia Moderate hyperkalemia Severe hypomagnesemia Moderate hyperphosphatemia

Severe hypocalcemia

What food is appropriate for the patient with hypoparathyroidism to include in the diet? Milk Yogurt Cheese Soy milk

Soy milk

Which type of thyroiditis does the nurse suspect in a patient who complains of cold, fever, chills, dysphagia, and muscle and joint pains? Acute thyroiditis Chronic thyroiditis Subacute thyroiditis Idiopathic thyroiditis

Subacute thyroiditis

A patient is suspected of having hyperparathyroidism. The primary health care provider diagnoses the cause as hyperplasia. What treatment would be most effective for this condition? Medication management Fluid and electrolyte management Surgical removal of nearly all parathyroid glands Surgical removal of the affected parathyroid gland

Surgical removal of nearly all parathyroid glands

What does the nurse teach an older patient about the effect aging has on thyroid hormones? Select all that apply. Some correct answers were not selected The thyroid gland increases in size. The basal metabolic rate decreases. Thyroid hormone secretion decreases. Body composition changes from muscular to fatty. Higher doses of thyroid replacement hormone will be needed.

The basal metabolic rate decreases. Thyroid hormone secretion decreases. Body composition changes from muscular to fatty.

What is follicular carcinoma of the thyroid? It is a slow-growing tumor. The tumor secretes calcitonin. It is confined to the thyroid gland. The cancer invades blood vessels.

The cancer invades blood vessels.

A patient with Graves' disease can potentially develop thyroid storm. What factor can trigger thyroid storm in the patient? Lack of iodine Use of artificial tears Reduced room temperature Vigorous palpation of the goiter

Vigorous palpation of the goiter

A patient is prescribed 50,000 units of ergocalciferol daily. What disorder does this drug treat? Hyperthyroidism Hypomagnesemia Calcium deficiency Vitamin D deficiency

Vitamin D deficiency

Which is a cause of hyperparathyroidism? Sepsis Hypomagnesemia Vitamin D deficiency Chronic bladder disease

Vitamin D deficiency

Which are causes of hyperparathyroidism? Select all that apply. Some correct answers were not selected Hypomagnesemia Vitamin D deficiency Congenital dysgenesis Congenital hyperplasia Neck trauma or radiation Parathyroid tumor or cancer

Vitamin D deficiency Congenital hyperplasia Neck trauma or radiation Parathyroid tumor or cancer

The nurse is assessing a patient with a parathyroid disorder. Which laboratory findings would support a diagnosis of hyperparathyroidism? Select all that apply. Some correct answers were not selected Vitamin D level of 30 ng/mL Serum calcium level of 11 mg/dL Serum magnesium level of 2 mEq/L Serum phosphorus level of 2.5 mg/dL Urine cyclic adenosine monophosphate (cAMP) level of 55 nmol/L

Vitamin D level of 30 ng/mL Serum calcium level of 11 mg/dL Serum phosphorus level of 2.5 mg/dL Urine cyclic adenosine monophosphate (cAMP) level of 55 nmol/L

Which is a nonsurgical treatment for hypoparathyroidism? Vitamin therapy Diuretic therapy Hydration therapy Calcimimetic therapy

Vitamin therapy