Thyroid and Parathyroid

what is a hallmark of thyroid cancer? a. aggressive tumors b. elevated serum thyroglobulin level c. metastasis to other organs d. invasion of blood vessels

b. elevated serum thyroglobulin level

what is the most common cause of hyperthyroidism? a. radiation to thyroid b. graves disease c. thyroid cancer d. thyroiditis

b. graves disease

a nurse in the postanesthesia care unit is caring for a client who just had a thyroidectomy. for which client response is it most important for the nurse to monitor? 1. urinary retention 2. signs of restlessness 3. decreased blood pressure 4. signs of respiratory obstruction

4. signs of respiratory obstruction

laboratory findings of elevated T3 and T4, decreased TSH, and high thyrotropin receptor antibody titer indicate which condition? a. multi nodular goiter b. hyperthyroidism related to overmedication c. pituitary tumor surpassing TSH d. graves disease

d. graves disease

after a thyroidectomy, a patient reports tingling around the mouth and muscle twitching. which complication do these assessment findings indicate to the nurse? a. hemorrhage b. respiratory distress c. thyroid storm d. hypocalcemia

d. hypocalcemia

what is the most common cause of death from myxedema coma? a. myocardial infarction b. acute kidney failure c. high serum level of iodide d. respiratory failure

d. respiratory failure

the nurse is caring for a young female patient with papillary carcinoma of the thyroid gland. which treatment is most likely to be prescribed for this patient? a. radiation therapy b. ablation c. chemotherapy d. thyroidectomy

d. thyroidectomy

a nurse is assessing a client with a diagnosis of hypothyroidism. which clinical manifestations should the nurse expectt when assessing this client? (SATA) 1. dry skin 2. brittle hair 3. weight loss 4. resting tremors 5. heat intolerance

1. dry skin 2. brittle hair

a nurse is caring for a client who is admitted to the hospital with the diagnosis of primary hyperparathyroidism. which action should be included in this clients plan of care? 1. ensuring a large fluid intake 2. providing a high-calcium diet 3. instituting seizure precautions 4. encouraging complete bed rest

1. ensuring a large fluid intake

a patient with adrenal insufficiency is to be discharged and will take prednisone 10 mg orally each day. which instruction would the nurse be sure to teach the patient? 1. excessive weight gain or swelling should be reported to the health care provider 2. changing positions rapidly may cause hypotension and dizziness 3. a diet with foods low in sodium may be beneficial to prevent side effects 4. signs of hypoglycemia may occur while taking this drug

1. excessive weight gain or swelling should be reported to the health care provider

a nurse is caring for a newly admitted client with a diagnosis of graves disease. in preparing a teaching plan, the nurse anticipates which diet will be ordered for this client? 1. high calorie diet 2. low sodium diet 3. high roughage diet 4. mechanical soft diet

1. high calorie diet

which clinical findings should the nurse expect when assessing a client with hyperthyroidism? (SATA) 1. diarrhea 2. listlessness 3. weight loss 4. Bradycardia 5. decreased appetite

1. diarrhea 3. weight loss

a nurse is assessing a client for possible laryngeal nerve injury following a thyroidectomy. which action should the nurse implement on an hourly basis? 1. ask the client to speak 2. instruct the client to swallow 3. have the client hum a familiar tune 4. swab the clients throat to test the gag reflex

1. ask the client to speak

when taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. the nurse notifies the health care provider. which should the nurse expect the health care provider to prescribe? 1. calcium 2. magnesium 3. bicarbonate 4. potassium chloride

1. calcium

a nurse is caring for a client who is experiencing and underproduction of thyroxine. which client response is associated with an underproduction of thyroxine (T4)? 1. myxedema 2. acromegaly 3. graves disease 4. cushings disease

1. myxedema

a client with hyperthyroidism asks the nurse about the tests that will be ordered. which diagnostic tests should the nurse include in a discussion with this client? 1. T4 and xray films 2. TSH assay and T3 3. Thyroglobulin level and po2 4. protein-bound iodine and SMA

2. TSH assay and T3

The nurse is caring for a 25-year-old patient admitted to the acute care unit with an extra strong thirst, and dilute, excessive straw colored urine output (up to 15 L/day). what does the nurse suspect? 1. Type 2 diabetes 2. diabetes insipidus (DI) 3. Cushing disease 4. Addison disease

2. diabetes insipidus (DI)

the nurse is providing care for a male patient with hypogonadotropin who is receiving sex steroid replacement therapy with testosterone. which changes indicate to the nurse that therapy is successful? (SATA) 1. decreased facial hair 2. increased libido 3. decreased bone size 4. increased muscle mass 5. increased axillary hair growth 6. increased breast tissue

2. increased libido 4. increased muscle mass 5. increased axillary hair growth

the nurse is caring for the following patients with endocrine disorders. which patient must the nurse assess first? 1. a 21-year-old patient with diabetes insidious whose urine output overnight was 2000mL 2. a 55-year-old patient with syndrome of inappropriate antidiuretic hormone secretion (SIADH) who is demanding that the unlicensed assistive personnel refill his water pitcher 3. a 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L 4. a 48-year-old patient with Cushing disease with a weight gain of 1.5 lb over the past 4 days

3. a 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L

for which client response should the nurse monitor when assessing for complications of hyperparathyroidism? 1. tetany 2. seizures 3. bone pain 4. graves disease

3. bone pain

a clients laboratory values demonstrate an increased serum calcium level, and further diagnostic tests reveal hyperparathyroidism. for what clinical manifestations should the nurse assess this client? (SATA) 1. muscle tremors 2. abdominal cramps 3. increased peristalsis 4. cardiac dysrhythmias 5. hypoactive bowel sounds

4. cardiac dysrhythmias 5. hypoactive bowel sounds

Levothyroxine (Synthroid) 0.125 mg by mouth is prescribed for a client with hypothyroidism. The only tablets available contain 25 mcg per tablet. how many tablets should the nurse administer?

5 tablets

which conditions may precipitate myxedema coma? (SATA) a. rapid withdrawal of thyroid medication b. vitamin D deficiency c. untreated hypothyroidism d. surgery e. excessive exposure to iodine f. radioactive iodine (RAI) treatment

a. rapid withdrawal of thyroid medication c. untreated hypothyroidism d. surgery

After a visit to the health care provider's office, a patient is diagnosed with general thyroid enlargement and elevate thyroid hormone level. Which condition do these findings indicate? a. Hyperthyroidism and goiter b. Hypothyroidism and goiter c. Nodules on the parathyroid gland d. Thyroid or parathyroid cancer

a. Hyperthyroidism and goiter

discharge planning for a patient with chronic hypoparathyroidism includes which instructions? (SATA) a. take prescribed mediations for the rest of the patients life b. eat foods low in vitamin D and high in phosphorus c. eat foods high in calcium, but low in phosphorus d. discontinue medication after several weeks e. kidney stones are no longer a risk to the patient f. interventions to reduce anxiety

a. take prescribed mediations for the rest of the patients life c. eat foods high in calcium, but low in phosphorus f. interventions to reduce anxiety

which signs and symptoms are assessment findings indicative of thyroid storm? (SATA) a. abdominal pain and nausea b. hypothermia c. elevated temperature d. tachycardia e. elevated systolic blood pressure f. bradycardia

a. abdominal pain and nausea c. elevated temperature d. tachycardia e. elevated systolic blood pressure

management of the patient with hyperthyroidism focuses on which goals? (SATA) a. blocking the effects of excessive thyroid secretion b. treating the signs and symptoms the patient experiences c. establishing euthyroid function d. preventing spread of the disease e. maintaining and environment of reduced stimulation f. promoting comfort

a. blocking the effects of excessive thyroid secretion b. treating the signs and symptoms the patient experiences c. establishing euthyroid function e. maintaining and environment of reduced stimulation f. promoting comfort

production of which hormone causes lower levels of calcium? a. calcitonin b. parathyroid hormone (PTH) c. thyroxine (T4) d. thyroid stimulating hormone (TSH)

a. calcitonin

which medication therapies does the nurse expect patients with hypoparathyroidism to receive? (SATA) a. calcium chloride b. calcium gluctonate c. calcitriol d. propranolol e. ergocalciferol f. furosemide

a. calcium chloride b. calcium gluctonate c. calcitriol e. ergocalciferol

which patient care task would the nurse supervise but delegate to the unlicensed assistive personnel (UAP) when providing care for a patient with hyperthyroidism? (SATA) a. check vital signs and report and temperature elevation immediately b. administer methimazole (tapazole) as ordered c. ensure that the patient has a pitcher of fresh ice water at the bedside d. teach the patient about thyroid replacement therapy e. change the bed linen whenever it becomes damp f. remind the patient to take a cool shower if sweating occurs

a. check vital signs and report and temperature elevation immediately c. ensure that the patient has a pitcher of fresh ice water at the bedside e. change the bed linen whenever it becomes damp f. remind the patient to take a cool shower if sweating occurs

which disorders/conditions can cause hyperparathyroidism? (SATA) a. chronic kidney disease b. neck trauma c. thyroidectomy d. vitamin D deficiency e. parathyroidectomy f. congenital hyperplasia

a. chronic kidney disease b. neck trauma d. vitamin D deficiency f. congenital hyperplasia

a patient who has been diagnosed with graves disease is to receive radioactive iodine (RAI) in the oral form of 131I as a treatment. what instructions does the nurse include in the teaching plan about preventing radiation exposure to others? (SATA) a. do not share a toilet with others for 2 weeks after the treatment b. flush the toilet 3 times after each use c. wash clothing separately from others in the household d. limit contact with pregnant women, infants and children e. do not use a laxative within 2 weeks of having the treatment f. it may take 6 to 8 weeks after RAI therapy for complete symptom relief

a. do not share a toilet with others for 2 weeks after the treatment b. flush the toilet 3 times after each use c. wash clothing separately from others in the household d. limit contact with pregnant women, infants and children f. it may take 6 to 8 weeks after RAI therapy for complete symptom relief

the nurse is assessing a patient with a diagnosis of hashimotos disease. what are the primary manifestations of this disease? (SATA) a. dysphagia b. painless enlargement of the thyroid gland c. painful enlargement of the thyroid gland d. weight loss e. intolerance to heat f. diagnosis based on circulation antithyroid antibodies

a. dysphagia b. painless enlargement of the thyroid gland f. diagnosis based on circulation antithyroid antibodies

a patient has hyperparathyroidism and high levels of serum calcium. which initial medication does the nurse prepare to administer to the patient? a. furosemide with IV saline b. calcitonin c. oral phosphates d. mithramycin

a. furosemide with IV saline

the unlicensed assistive personnel (UAP) is providing a bath for a patient with hyperparathyroidism. what essential teaching must the nurse provide to the UAP? a. handle the patient carefully and use a lift sheet for repositioning b. be sure to use a bath blanket to keep the patient from shivering c. remind the patient about the importance of consuming foods rich in potassium d. allow the patient to get out of bed and walk to the bathroom without assistance

a. handle the patient carefully and use a lift sheet for repositioning

a patient has the following assessment findings: elevated TSH level, low T3 and T4 levels, difficulty with memory, lethargy, and muscle stiffness. these are clinical manifestations of which disorder? a. hypothyroidism b. hyperthyroidism c. hypoparathyroidism d. hyperparathyroidism

a. hypothyroidism

the patient who is prescribed methimazole 4mg orally every 8 hours tells the nurse that his heart rate is slow (60/min), he has gained 7 pounds, and wears a sweater even on warm days. what does the nurse suspect? a. indications of hypothyroidism will require a lower dosage b. indications of hypothyroidism will require a higher dosage c. indications of hyperthyroidism will require lower dosage d. indications of hypothyroidism will require a higher dosage

a. indications of hypothyroidism will require a lower dosage

which factors are considered to be triggers for thyroid storm? (SATA) a. infection b. cold temperatures c. vigorous palpation of a goiter d. diabetic ketoacidosis e. extremely warm temperatures f. pregnancy

a. infection c. vigorous palpation of a goiter d. diabetic ketoacidosis f. pregnancy

which statements about thyroiditis are accurate? (SATA) a. it is an inflammation of the thyroid gland b. hashimotos disease is the most common type c. it always resolves with antibiotic therapy d. there are three types: acute, subacute, and chronic e. the patient must take thyroid hormones f. subacute thyroiditis is caused by a viral infection

a. it is an inflammation of the thyroid gland b. hashimotos disease is the most common type d. there are three types: acute, subacute, and chronic e. the patient must take thyroid hormones f. subacute thyroiditis is caused by a viral infection

which statements about acute thyroiditis are accurate? (SATA) a. it is caused by a bacterial infection of the thyroid gland b. it is treated with antibiotic therapy c. it results from a viral infection of the thyroid gland d. subtotal thyroidectomy is a form of treatment e. manifestations include. neck tenderness, fever, and dysphagia f. it is an autoimmune disorder caused by viral infection

a. it is caused by a bacterial infection of the thyroid gland b. it is treated with antibiotic therapy e. manifestations include. neck tenderness, fever, and dysphagia

which statements about hyperthyroidism are accurate? (SATA) a. it is most commonly caused by graves disease b. it can be caused by overuse of thyroid replacement medication c. it occurs more often in men between the ages of 20-40 d. weight gain is a common manifestation e. serum T3 and T4 results will be elevated f. there may be an increase in number of bowel movements per day

a. it is most commonly caused by graves disease b. it can be caused by overuse of thyroid replacement medication e. serum T3 and T4 results will be elevated f. there may be an increase in number of bowel movements per day

the clinical manifestations of hyperthyroidism are known as which condition? a. thyrotoxicosis b. euthyroid function c. graves disease d. hypermetabolism

a. thyrotoxicosis

the nurse is preparing for a patient to return from thyroid surgery. what priority equipment does the nurse ensure is immediately available? (SATA) a. tracheostomy equipment b. calcium gluconate or calcium chloride for IV administration c. mechanical ventilator d. humidified oxygen e. suction equipment f. pillows

a. tracheostomy equipment b. calcium gluconate or calcium chloride for IV administration d. humidified oxygen e. suction equipment f. pillows

which assessment findings indicate hyperthyroidism? (SATA) a. weight loss with increased appetite b. constipation c. increased heart rate d. insomnia e. decreased libido f. heat intolerance

a. weight loss with increased appetite c. increased heart rate d. insomnia f. heat intolerance

which factor is a key assessment finding that signifies hypothyroidism? a. irritability b. cold intolerance c. diarrhea d. fatigue

b. cold intolerance

after hospitalization for myxedema, a patient is prescribed thyroid replacement medication. which statement by the patient demonstrates a correct understanding of this therapy? a. "I'll be taking this medication until my symptoms are completely resolved." b. "I'll be taking thyroid medication for the rest of my life" c. "now that I'm feeling better, no changes in my medication will be necessary" d. "I'm taking this medication to prevent symptoms of an overactive thyroid gland"

b. "I'll be taking thyroid medication for the rest of my life"

a patient has been prescribed thyroid hormone for treatment of hypothyroidism. within what time frame does the patient expect improvement in mental awareness with this treatment? a. a few days b. 2 weeks c. 1 month d. 3 months

b. 2 weeks

In older adults, assessment findings of fatigue, altered thought process, dry skin, and constipation are often mistaken for signs of aging rather than assessment findings for which endocrine disorder? a. Hyperthyroidism b. Hypothyroidism c. Hyperparathyroidism d. Hypoparathyroidism

b. Hypothyroidism

Which are preoperative instructions for a patient having thyroid surgery? (SATA) a. Teach postoperative restrictions such as no coughing and deep-breathing exercises to prevent strain on the suture line b. Teach the moving and turning technique of manually supporting the head and avoiding neck extension to minimize strain on the suture line c. Inform the patient that hoarseness for a few days after surgery is usually the result of a breathing tube (endotracheal tube) used during surgery d. Humidification of air may be helpful to promote expectoration of secretions. Suctioning may also be used e. Clarify any questions regarding placement of incision, complications, and postoperative care f. A supine position and lying flat will be maintained postoperatively to avoid strain on suture line

b. Teach the moving and turning technique of manually supporting the head and avoiding neck extension to minimize strain on the suture line c. Inform the patient that hoarseness for a few days after surgery is usually the result of a breathing tube (endotracheal tube) used during surgery d. Humidification of air may be helpful to promote expectoration of secretions. Suctioning may also be used e. Clarify any questions regarding placement of incision, complications, and postoperative care

a patient has a positive trousseaus and chvosteks signs resulting from hypoparathyroidism. what condition does this assessment finding indicate? a. hypercalcemia b. hypocalcemia c. hyperphosphatemia d. hypophosphatemia

b. hypocalcemia

the laboratory results for a 53-year-old patient indicate a low T3 level and elevated thyroid-stimulating hormone (TSH). what do these results indicate? a. hyperthyroidism b. hypothyroidism c. malfunctioning pituitary gland d. normal laboratory values for this age

b. hypothyroidism

the nurse assess a patient in the emergency department (ED) and finds the following: constipation, fatigue with increased sleeping time, impaired memory, facial puffiness and weight gain. which deficiency does the nurse recognize? a. hyperthyroidism b. hypothyroidism c. hyperparathyroidism d. hypoparathyroidism

b. hypothyroidism

a patient who has been diagnosed with graves disease is to receive radioactive iodine (RAI) in the oral form of 131I. what does the nurse teach the patient about how this drug works? a. it destroys the hormones T3 and T4 b. it destroys the tissue that produces thyroid hormones c. it blocks thyroid hormone production d. it prevents T4 from being converted to T3

b. it destroys the tissue that produces thyroid hormones

which condition is a life-threatening emergency and a serious complication of untreated or poorly treated hypothyroidism? a. endemic goiter b. myxedema coma c. toxic multi nodular goiter d. thyroiditis

b. myxedema coma

the nurse is assessing a patient diagnosed with hyperthyroidism and observes dry, waxy swelling of the front surfaces of the lower legs. how does the nurse interpret this finding? a. globe lag b. pretibial myxedema c. exophthalmos d. goiter

b. pretibial myxedema

which sign/symptom is one of the first indicators of hyperthyroidism that is often noticed by the patient? a. eyelid or globe lag b. vision changes or tiring of the eyes c. protruding eyes d. photophobia

b. vision changes or tiring of the eyes

which foods will the nurse instruct a patient with hypoparathyroidism to avoid? (SATA) a. canned vegetables b. yogurt c. fresh fruit d. red meat e. milk f. processed cheese

b. yogurt e. milk f. processed cheese

the nurse is assessing a patient with graves disease and observes an abnormal protrusion of both eyeballs. how does the nurse document this assessment finding? a. globe lag b. pretrial myxedema c. exophthalmos d. goiter

c. exophthalmos

which factor is a hallmark assessment finding that signifies hyperthyroidism? a. weight loss b. increased libido c. heat intolerance d. diarrhea

c. heat intolerance

the nurse assesses a patient for laryngeal nerve damage after thyroidectomy. which findings indicate this complication? (SATA) a. dyspnea b. sore throat c. hoarseness d. weak voice e. dry cough f. increased respiratory rate

c. hoarseness d. weak voice

the nurse is assessing a patient after thyroid surgery and discovers harsh, high-pitched respiratory sounds. what is the nurses best first action? a. administer oxygen at 5L via nasal cannula b. administer IV calcium chloride c. notify the rapid response team d. suction the patient for oral secretions

c. notify the rapid response team

in addition to regulation of calcium levels, parathyroid hormone (PTH) and calcitonin regulate the circulating blood levels of which substance? a. potassium b. sodium c. phosphate d. chloride

c. phosphate

the nurse is providing instructions to a patient taking levothyroxine. what key information about dosing does the nurse tell the patient about this medication? a. it is started at a hight dose and gradually decreased based on symptom relief b. with myxedema coma, the drug is crushed and given through a feeding tube c. starting at too high a dose or increasing the dose too rapidly can cause severe hypertension, heart failure, and myocardial infarction d. the patient requires this therapy until all symptoms are completely relieved

c. starting at too high a dose or increasing the dose too rapidly can cause severe hypertension, heart failure, and myocardial infarction

a patient with exophthalmos from hyperthyroidism reports dry eyes, especially in the morning. the nurse teaches the patient to perform which intervention to help correct this problem? a. wear sunglasses at all times when outside in the bright sun b. use cool compresses to the eye four times a day c. tape the eyes closed with non allergenic tape d. there is nothing that can be done to relieve this problem

c. tape the eyes closed with non allergenic tape

a patient with continuous spasm of the muscles is diagnosed with hypoparathyroidism. the muscle spasms are a clinical manifestation of which condition? a. nerve damage b. seizures c. tetany d. decreased potassium

c. tetany

the patient has multiple thyroid nodules resulting in thyroid hyperfunction. what is the most likely cause of this hyperthyroidism? a. thyroid carcinoma b. graves disease c. toxic multi nodular goiter d. pituitary hyperthyroidism

c. toxic multi nodular goiter

which statement best describes globe lag in a patient with hyperthyroidism? a. abnormal protrusion of the eyes b. upper eyelid fails to descend when the patient gazes downward c. upper eyelid fails to descend when the patient gazes upward d. inability of both eyes to focus on an object simultaneously

c. upper eyelid fails to descend when the patient gazes upward

the nurse is performing a physical examination of a patients thyroid gland. precautions are taken in performing the correct technique because palpation can result in which occurrence? a. damage to the esophagus causing gastric reflux b. obstruction of the carotid arteries causing a stroke c. pressure on the trachea and laryngeal nerve causing hoarseness d. exacerbation of symptoms by releasing additional thyroid hormone

d. exacerbation of symptoms by releasing additional thyroid hormone

the nurse assessing a patient palpates enlargement of the thyroid gland, along with noticeable swelling of the neck. how does the nurse interpret this finding? a. globe lag b. myxedema c. exophthalmos d. goiter

d. goiter

propylthiouracil (PTU) is prescribed for a client diagnosed with hyperthyroidism. The client asks the nurse, "why do I have to take this medication if I am going to get the atomic cocktail?" The nurse explains that the medication is being prescribed because it decreases the: 1. vascularity of the thyroid gland 2. production of thyroid hormones 3. need for thyroid iodine supplements 4. amount of already formed thyroid hormones

2. production of thyroid hormones

a client is diagnosed with hyperthyroidism and is experiencing exophthalmia. which measures should the nurse include when teaching this client how to manage the discomfort associated with exophthalmia? (SATA) 1. use tinted glasses 2. use warm, moist compresses 3. elevate the head of the bed 45 degrees 4. tape eyelids shut at night if they do not close 5. apply a petroleum-based jelly along the lower eyelid

1. use tinted glasses 3. elevate the head of the bed 45 degrees 4. tape eyelids shut at night if they do not close

on the first postoperative day following a thyroidectomy, a client tolerates a full-fluid diet. this is changed to a soft diet on the second postoperative day. the client reports having a sore throat when swallowing. what should the nurse do first? 1. reorder the full fluid diet 2. notify the health care provider 3. administer analgesics as prescribed before meals 4. provide saline gargles to moisten the mucous membranes

3. administer analgesics as prescribed before meals

a patient is admitted to the medical unit with possible graves disease (hyperthyroidism). which assessment finding by the nurse supports this diagnosis? 1. periorbital edema 2. bradycardia 3. exophthalmos 4. hoarse voice

3. exophthalmos

a nurse is caring for a client after radioactive iodine is administered for graves disease. what information about the clients condition after this therapy should the nurse consider when providing care? 1. not radioactive and can be handled as any other individual 2. highly radioactive and should be isolated as much as possible 3. mildly radioactive but should be treated with routine safety precautions 4. not radioactive but may still transmit some dangerous radiations and must be treated with precautions

3. mildly radioactive but should be treated with routine safety precautions

which statements about hypothyroidism are accurate? (SATA) a. it occurs more often in women b. it can be caused by iodine deficiency c. weight loss is a common manifestation d. it can be caused by autoimmune thyroid destruction e. myxedema coma is a rare but serious complication f. symptoms are the result of high levels of metabolism

a. it occurs more often in women b. it can be caused by iodine deficiency d. it can be caused by autoimmune thyroid destruction e. myxedema coma is a rare but serious complication

which are assessment findings of hypocalcemia? (SATA) a. numbness and tingling around the mouth b. muscle cramping c. bone fractures d. fever e. tachycardia f. trousseaus and chvosteks signs

a. numbness and tingling around the mouth b. muscle cramping f. trousseaus and chvosteks signs

Bone changes in the older adult are often seen with endocrine dysfunction and increased secretion of which substance? a. parathyroid hormone (PTH) b. Calcitonin c. Insulin d. Testosterone

a. parathyroid hormone (PTH)

the nurse is providing instructions to patient who is taking the antithyroid medication propylthiouracil (PTU). the nurse instructs the patient to notify the health care provider immediately if which sign/symptom occurs? a. weight gain b. dark-colored urine c. cold intolerance d. headache

b. dark-colored urine

which laboratory result is consistent with a diagnosis of hyperthyroidism? a. degreased serum triiodothyronine (T3) and thyroxine (T4) levels b. elevated serum thyrotropin-releasing hormone (TRH) level c. decreased radioactive iodine uptake d. increased serum T3 and T4

d. increased serum T3 and T4

a nurse is caring for a client who just had a thyroidectomy. for which client response should the nurse assess the client when concerned about an accidental removal of the parathyroid glands during surgery? 1. tetany 2. myxedema 3. hypovolemic shock 4. adrenocortical stimulation

1. tetany

what should a nurse do immediately when a client returns from the postanesthesia care unit following a subtotal thyroidectomy? 1. inspect the incision 2. instruct the client not to speak 3. place a tracheostomy set at the bedside 4. place in the supine position for 24 hours

3. place a tracheostomy set at the bedside

a client is scheduled to have a thyroidectomy. which medication does the nurse anticipate the health care provider will prescribe to decrease the size and vascularity of the thyroid gland before surgery? 1. vasopressin (Pitressin) 2. propylthiouracil (PTU) 3. potassium iodide (SSKI) 4. levothyroxine (Synthroid)

3. potassium iodide (SSKI)

a nurse is caring for a client with an underachieve thyroid gland. which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T3) and T4? (SATA) 1. irritability 2. tachycardia 3. weight gain 4. cold intolerance 5. profuse diaphoresis

3. weight gain 4. cold intolerance

serum calcium levels are maintained by which hormone? a. cortisol b. luteinizing hormone c. antidiuretic hormone (ADH) d. parathyroid hormone (PTH)

d. parathyroid hormone (PTH)