Endocrine SI Worksheet

A pt is diagnosed w/ hyperparathyroidism. Which of the following s/s would you not find in this pt? Select all that apply: a. calcium level 6 mg/dL b. bone fracture c. positive trousseau's sign d. tingling + numbness of lips + fingers e. calcium level of 15 mg/dL f. phosphate level 1.2 g. renal calculi

a. calcium level 6 mg/dL *** c. positive trousseau's sign *** d. tingling + numbness of lips + fingers ***

Which statement made by the pt makes the nurse suspect the pt is experiencing hyperthyroidism? a. "I just don't seen to have any appetite anymore" b. "I have a BM about every 3 to 4 days" c. "My skin is really becoming dry and course" d. "I have noticed all my collars are getting tighter"

d. "I have noticed all my collars are getting tighter" ***

The nurse is providing an in-service on thyroid disorders. One of the attendees asks the nurse, "Why don't people in the US get goiters as often?" Which statement by the nurse is the best response? a. "it is because of the screening techniques used in the US" b. "it is a genetic predisposition rare in north americans" c. "the meds available in the US decrease goiters" d. "iodized salt helps prevent the development of goiters in the US"

d. "iodized salt helps prevent the development of goiters in the US" ***

After a thyroidectomy, the physician suspects laryngeal nerve damage. Which of the following is the priority assessment regarding laryngeal nerve damage? a. difficulty swallowing b. tetany c. fever d. hoarseness of voice

d. hoarseness of voice ***

The nurse is monitoring a pt for signs of hypocalcemia after thyroidectomy. Which s/s if noted in the pt, would most likely indicate the presence of hypocalcemia? a. bradycardia b. flaccid paralysis c. tingling around the mouth d. absence of Chvostek's sign

c. tingling around the mouth ***

A nurse is collecting data on a pt w/ hyperparathyroidism. Which of following questions would elicit the accurate info about this condition from the client? a. "do you have tremors in your hands?" b. "are you experiencing pain in your joints?" c. "have you had problems w/ diarrhea lately?" d. "do you notice swelling in your legs at night?"

b. "are you experiencing pain in your joints?" ***

A pt is 6 hrs post-op from thyroid surgery. The pt's calcium level is 5 + phosphate level is 4.2. What physical s/s would NOT present w/ these findings? Select all that apply: a. bronchospasm b. constipation c. numbness + tingling in face d. positive Chvostek's sign e. absent Trousseau's sign f. hypertension

b. constipation *** e. absent Trousseau's sign *** f. hypertension ***

Which s/s should make the nurse suspect the pt is experiencing a thyroid storm? a. constipation + hypoactive bowel sounds b. hyperpyrexia + extreme tachycardia c. hypotension + bradycardia d. decreased respirations + hypoxia

b. hyperpyrexia + extreme tachycardia ***

Which is the tx of hypoparathyroidism? a. drink a lot of milk b. iv calcium gluconate c. bisphosphonates d. vitamin d

b. iv calcium gluconate ***

A pt is admitted to an ED, and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially? a. warm the client b. maintain a patent airway c. administer thyroid hormone d. administer fluid replacement

b. maintain a patent airway ***

Which of the following symptoms may the elder adult have as a result of hypothyroidism? a. excessive hunger b. hair loss c. depression d. poor circulation

c. depression ***

A nurse would expect to note which interventions in the plan of care for a pt w/ hypothyroidism? Select all that apply. a. provide a cool environment for the client b. instruct the pt to consume a high-fat diet c. instruct the pt about thyroid replacement therapy d. encourage the pt to consume fluids + high-fiber food in the diet e. instruct the pt to contact the HCP if episodes of chest pain occur f. inform the pt that iodine preparations will be prescribed to treat the disorder

c. instruct the pt about thyroid replacement therapy *** d. encourage the pt to consume fluids + high-fiber food in the diet *** e. instruct the pt to contact the HCP if episodes of chest pain occur ***

You are performing discharge teaching w/ a pt who is going home on levothyroxine (Synthroid). Which statement by the pt causes you to re-educate the pt about this med? a. "I will take this med at bedtime w/ a snack" b. "I will never stop taking this med abruptly" c. "If I have palpitations, chest pain, intolerance to heat, or feel restless, I will notify the doctor" d. "I will not take this med at the same time that I take my Carafate"

a. "I will take this med at bedtime w/ a snack" ***

The 68 yr old pt diagnosed w/ hyperthyroidism is being tx w/ radioactive iodine therapy. Which interventions should the nurse discuss w/ the pt? a. explain it will take up to a month for the symptoms of hyperthyroidism to subside b. teach the iodine therapy will have to be tapered slowly over one week c. discuss the pt will have to be hospitalized during the radioactive therapy d. inform the pt after the therapy the pt will not have to take any meds

a. explain it will take up to a month for the symptoms of hyperthyroidism to subside ***

A pt who is in myxedema coma is given the following med orders, which of the following would be a cause to call the doctor to clarify the order? a. lorazepam b. levothyroxine c. metoprolol d. vasopressor e. hydrocodone

a. lorazepam *** c. metoprolol *** e. hydrocodone ***

The nurse is teaching the pt diagnosed w/ hyperthyroidism. Which info should be taught to the client? Select all that apply. a. notify the HCP if a 3 pound wt loss occurs in 2 days b. discuss ways to cope w/ the emotional lability c. notify the HCP if taking OTC meds d. carry a medical identification card or bracelet e. teach how to take thyroid meds correctly

a. notify the HCP if a 3 pound wt loss occurs in 2 days *** b. discuss ways to cope w/ the emotional lability *** c. notify the HCP if taking OTC meds *** d. carry a medical identification card or bracelet ***

A nurse is caring for a pt w/ a diagnosis of hypoparathyroidism. The nurse reviews the lab results drawn on the pt + notes that the calcium level is extremely low. The nurse would expect to note which of the following on data collection of the pt? a. positive Trousseau's sign b. negative Chvostek's sign c. unresponsive pupils d. hyperactive bowel sounds

a. positive Trousseau's sign ***

A HCP has prescribed propylthiouracil (PTU) for a pt w/ hyperthyroidism, and the nurse assists in developing a plan of care for the pt. A priority nursing measure to be included in the plane regarding this med is to monitor the pt for: a. s/s of hypothyroidism b. s/s of hyperglycemia c. relief of pain d. signs of renal toxicity

a. s/s of hypothyroidism ***