CH.52 - thyroid PrepU ?'s

During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? a) "You must avoid hyperextending your neck after surgery." b) "You should avoid deep breathing and coughing after surgery." c) "You won't be able to swallow for the first day or two." d) "The head of your bed must remain flat for 24 hours after surgery."

a) "You must avoid hyperextending your neck after surgery."

Which condition may contribute to hyperparathyroidism? a) Chronic renal failure b) Elevated serum calcium level c) Thyroidectomy d) Steroid use

b) Elevated serum calcium level

A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do? a) Evaluate the quality of the client's voice postoperatively, noting any drastic changes. b) Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes. c) Observe for swelling of the neck, tracheal deviation, and severe pain. d) Monitor laboratory values daily for elevated thyroid-stimulating hormone.

b) Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes.

A patient has been admitted to the post-surgical unit following a thyroidectomy. To promote comfort and safety, how should the nurse best position the patient? a) Head of the bed elevated 30 degrees and no pillows placed under the head b) Semi-Fowler's with the head supported on two pillows c) Side-lying (lateral) with one pillow under the head d) Supine, with a small roll supporting the neck

b) Semi-Fowler's with the head supported on two pillows

A client is returned to his room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside? a) Cardiac monitor b) Tracheostomy set c) Indwelling urinary catheter kit d) Humidifier

b) Tracheostomy set

For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for Chvostek's sign and Trousseau's sign because they indicate: a) hyperkalemia. b) hypocalcemia. c) hypokalemia. d) hypercalcemia.

b) hypocalcemia.

Before undergoing a subtotal thyroidectomy, a client receives potassium iodide (Lugol's solution) and propylthiouracil (PTU). The nurse should expect the client's symptoms to subside: a) in a few days. b) in 1 to 2 weeks. c) in 3 to 4 months. d) immediately.

b) in 1 to 2 weeks.

A client has had a thyroidectomy. Which of the following would lead the nurse to suspect that the client is developing thyrotoxic crisis? a) Bradycardia b) Hyperthermia c) Hoarseness d) Tetany

c) Hoarseness

A nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy? a) Methimazole (Tapazole) b) Liothyronine (Cytomel) c) Levothyroxine (Synthroid) d) Thyroid USP desiccated (Thyroid USP Enseals)

c) Levothyroxine (Synthroid)

The nurse is completing discharge teaching with a patient with hyperthyroidism who has been treated with radioactive iodine (RAI) at an outpatient clinic. The nurse instructs the patient to do which of the following? a) Watch for symptoms of hyperthyroidism to disappear within 1 week. b) Continue radioactive precautions with all body secretions. c) Monitor for symptoms of hypothyroidism. d) Discontinue all antithyroid medications.

c) Monitor for symptoms of hypothyroidism.

A client visits the physician's office complaining of agitation, restlessness, and weight loss. The physical examination reveals exophthalmos, a classic sign of Graves' disease. Based on history and physical findings, the nurse suspects hyperthyroidism. Exophthalmos is characterized by: a) dry, waxy swelling and abnormal mucin deposits in the skin. b) a wide, staggering gait. c) protruding eyes and a fixed stare. d) more than 10 beats/minute difference between the apical and radial pulse rates.

c) protruding eyes and a fixed stare.

After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. Which electrolyte should the nurse anticipate administering? a) Sodium phosphorus b) Sodium bicarbonate c) Potassium chloride d) Calcium gluconate

d) Calcium gluconate

Early this morning, a client had a subtotal thyroidectomy. During evening rounds, the nurse assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs? a) Tetany b) Hypoglycemia c) Diabetic ketoacidosis d) Thyroid crisis

d) Thyroid crisis