EAQ #2 NURS 1873 SP21 (Lewis Ch. 49 - Endocrine Disorders of the Thyroid)

A nurse completes an assessment and notes that a patient's thyroid gland is enlarged. With which condition is this finding consistent?

Goiter

Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that apply.

-Weight loss -Protrusion of the eyeballs -Elevated BP

To promote optimal absorption, the nurse would instruct a patient to take their levothyroxine at which time?

0600

A patient scheduled for a thyroidectomy is placed on potassium iodine. When the patient's family asks the nurse why this medication is needed, which response by the nurse is accurate?

"This medication will decrease the vascularity of the thyroid gland."

What instruction would the nurse include in the teaching plan for a patient who is receiving radioactive iodine (RAI)?

"Towels that are used by you should not be used by other family members."

Which clinical manifestations would the nurse assess in a hospitalized patient experiencing exophthalmos? Select all that apply.

-Tachypnea -Increased appetite -Bounding, rapid pulse

Which instruction would the nurse give the patient and caregiver about managing hypothyroidism?

-Use soap sparingly.

Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that apply.

-A positive bruit upon auscultation of the thyroid gland -goiter -Clubbing of the fingers

Which nursing interventions would the nurse implement for a patient status after a subtotal thyroidectomy? Select all that apply.

-Administer analgesics for postoperative pain. -Assess for signs of tetany. -Assess the patient every two hours for signs of bleeding

A patient who has 20-year history of hypothyroidism was admitted to the intensive care unit (ICU) with a decreased level of consciousness and a temperature of 96° F. Which interventions would be included in the plan of care for this patient? Select all that apply.

-Administering thyroid hormone IV -Monitoring cardiovascular status continuously

Which nursing interventions would be included in the plan of care for a patient exhibiting exophthalmos? Select all that apply.

-Apply artificial tears. -Tape the eyelids lightly for sleeping, if needed. -Ask the patient to exercise the intraocular muscles. -Teach the patient to eat a low-salt diet.

Which nursing interventions would be included in the plan of care for a patient recovering from a thyroidectomy? Select all that apply.

-Assessing for tetany -Monitoring vital signs -Assessing the patient every two hours on the first postoperative day

Which instructions would the nurse provide to a patient undergoing radioactive iodine therapy in the outpatient setting? Select all that apply.

-Avoid preparing food for others. -Launder personal towels, bed linens, and clothes separately at home. -Avoid being close to pregnant women or children for seven days after therapy.

Which instructions would the nurse include in a teaching plan for a patient who has a history of coronary artery disease (CAD) and is newly diagnosed with hypothyroidism? Select all that apply.

-Avoid using enemas. -Avoid using sedatives. -Take the prescribed medication before breakfast.

Which instructions would the nurse include in a dietary teaching plan provided to a patient who is diagnosed with hyperthyroidism? Select all that apply.

-Consume a high-calorie diet -Eat snacks high in protein. -Avoid caffeinated beverages.

Which clinical manifestations would the nurse assess in a hospitalized patient diagnosed with Graves' disease? Select all that apply.

-Dysrhythmias -Systolic murmurs -Systolic hypertension

Which complications are associated with hyperparathyroidism? Select all that apply.

-Fractures -Osteoporosis -Kidney stones

Which nursing inventions would be included in the plan of care for a patient who had a parathyroidectomy? Select all that apply.

-Monitor intake and output. -Ensure that IV calcium is available. -Assess for numbness and tingling of the hands and mouth.

On assessment of a patient who has been complaining of "eye problems," the nurse notes exophthalmos. Which other abnormal assessments would the nurse expect to find in this patient? Select all that apply.

-Systolic hypertension -Increased heart rate

Which clinical manifestation is a classic finding in Graves' disease?

Exophthalmos

Activity intolerance in a patient with hypothyroidism is related to which side effect?

Fatigue

A patient with a goiter mentions losing 60 pounds in three months on a "raw food diet." Which foods, if eaten in great excess, would the nurse suspect as the cause of the goiter?

Broccoli

A nurse caring for a patient with hyperparathyroidism would monitor the patient for which complication?

Cardiac dysrhythmias

Which food item would be included on a list of foods that fall under the category of goitrogens?

Cauliflower

Which condition is the goal for treating hypocalcemia?

Decreasing the pH

Which treatment would be done for a patient diagnosed with hyperthyroidism who presents with nonmalignant neck nodules that are less than 3 cm in size?

Endoscopic thyroidectomy

Which condition is associated with decreased triiodothyronine (T3) and thyroxine (T4) levels and an increased TSH (thyroid-stimulating hormone) level? Incorrect

Hypothyroidism

For a patient who presents with an enlarged thyroid gland but has normal thyroid levels, which type of goiter would be documented in the patient's medical record?

Nontoxic

Which nursing intervention would be included in the plan of care for a patient with a diagnosis of hypothyroidism?

Patient teaching related to levothyroxine

The health care provider was unable to spare a patient's parathyroid gland during a thyroidectomy. Which assessment would the nurse prioritize when providing postoperative care for this patient?

Serum calcium levels

Which symptom is most important for the nurse to notify the health care provider about when caring for a patient with a history of hyperthyroidism who is admitted with a foot infection?

Temperature 103° F

Which expected outcome would be included in the plan of care for a patient with Graves' disease?

The patient will demonstrate maintenance of weight.

A patient with a history of hypoparathyroidism would be assessed for which condition?

Thyroidectomy

The patient experiencing thyrotoxicosis asks the nurse why he or she is being given propranolol. Which answer is accurate when responding to the patient's question?

To block the sympathetic nervous system response to excess thyroid hormone

Which rationale is accurate when explaining to a patient with hypothyroidism and coronary artery disease (CAD) as to why the use of an enema is contraindicated?

Vagus-nerve stimulation