Medsurg endo nclex practice (thyroid)

less thyroid tissue is available to supply thyroid hormone after surgery

a client with a subtotal thyroidectomy asks how hypothyroidism may develop when the problem was hyperthyroidism. which response by the nurse is appropriate?

limiting distance and time spent with client

a client with hyperthyroidism has been treated with radioactive iodine (131) to destroy overactive thyroid gland cells. which action by the nurse would be taken to reduce radiation exposure while providing care?

tremors, heat intolerance

a patient has been taking levothyroxine for hypothyroidism for 3 weeks. which manifestation would lead the nurse to believe that a decrease in dosage is needed?

report palpitations, nervousness, tremors or loss of weight. that may indicate an overdose of thyroid hormone

a patient is admitted to the hospital for a subtotal thyroidectomy. which action would the nurse teach the client to take when discussing postoperative drug therapy?

t3, t4, and TSH

a patient reports feeling nervous, irritable, and extremely tired. the patient sys to the nurse "although i eat a lot of food, i have frequent bouts of diarrhea and have been losing weight." the nurse observes a fine hand tremor, an exaggerated reaction to external stimuli, and wide-eyed expression.which laboratory test may be prescribed to determine the cause of these signs and symptoms?

increased temperature and pulse rate

a patient undergoes a thyroidectomy. which clinical finding will the nurse monitor to detect thyrotoxic crisis?

decreases the size and vascularity of the thyroid gland

a patient with hyperthyroidism is prescribed potassium iodide solution before a subtotal thyroidectomy is preformed. which benefit of potassium iodide solution is derived that a nurse would include when providing patient teaching?

tetany

following a thryoidectomy, which problem would the nurse suspect when providing care for a client who has a numbness in mouth, fingers, and toes, as well as muscle tingling and twitching?

weight gain and pedal edema

for which problem would the nurse teach the patient to seek immediate medical attention for while taking a hyperthyroid medication?

"it decreases production of thyroid hormones"

propylthiouracil (PTU) is prescribed to a client diagnosed with hyperthyroidism. the client asks the nurse "why do i have to take this medication if i am going to get radiation therapy?". which explanation would the nurse provide?

diarrhea, vomiting, confusion, hypertension, extreme agitation

which additional symptoms would the nurse monitor for following a subtotal thyroidectomy earlier in the day in a patient with nausea , a temperature of 104 degrees , and tachycardia?

Positive Chvostek's sign

which clinical manifestation can be a serious result of a thyroidectomy for a client diagnosed with hyperthyroidism?

bradycardia, depression, cold intolerance

which clinical manifestation is present with a patient with hypothyroidism?

facial puffiness

which clinical manifestation would be expected by a nurse providing care for a client with hypothyroidism?

weight loss, exophthalmos, and restlessness

which clinical manifestations would the nurse expect when assessing a patient with graves disease?

cognitive impairment

which complication associated with congenital hypothyroidism (cretinism) when treatment is not begun immediately?

hypothyroidism

which condition would require the nurse to administer levothyroxine?

high calorie diet

which diet would a nurse anticipate when preparing a teaching plan for a newly admitted client with graves disease?

Tachycardia Exopthalmos

which finding would the nurse expect when assessing a patient with hyperthyroidism?

intolerance to cold, decreased body temperature

which metabolic manifestation is likely to be observed in a patient with hypothyroidism?