thyroidism and cushing weekly quiz

A patient is prescribed levothyroxine. To promote optimal absorption, the nurse should instruct the patient to take the medication at which time? 0600 1200 1600 2100

0600

The nurse assesses a patient with periorbital edema; purplish red marks on the abdomen, chest, and buttocks, and rounded moon face with a blood pressure of 180/110. The nurse suspects that the patient has which condition? Acromegaly Diabetes mellitus Addison's disease Cushing syndrome

Cushing

A patient reports "eye problems". On assessment of this patient, the nurse notes exophthalmos. What other abnormal assessments should the nurse expect to find in this patient? Puffy face, decreased sweating, and dry hair Muscle aches and pains and slow movements Decreased appetite and increased thirst and pallor Systolic hypertension and increased heart rate

HTN and inc HR

What is a nursing priority in the care of a patient with a diagnosis of hypothyroidism? Providing a dark, low-stimulation environment Closely monitoring the patient's intake and output Patient teaching related to levothyroxine Patient teaching related to radioactive iodine therapy

Levothyroxine

A patient with endogenous Cushing syndrome shows a persistent rise in blood glucose levels. What drug would be administered to control glucose levels? Prednisone Mifepristone Hydrocortisone Aminoglutethimide

Mifepristone

The nurse is caring for a patient being treated for acute thyrotoxicosis. What are the nursing interventions for this 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. Place the patient in a supine position. Avoid elevating the patient's head.

artificial tears tape eyelids shut ask pt to exercise the intaocular muscles

An older adult patient who has a history of coronary artery disease (CAD) is diagnosed with hypothyroidism. What is appropriate for the nurse to include in the patient's education? Select all that apply. Eat a low-fiber diet. Avoid using enemas. Avoid using sedatives. Take the prescribed medication before breakfast. Alternate between the trade and generic brands of the medication.

avoid enemas avoid sedatives take meds before breakfast

The nurse is caring for a patient with hyperthyroidism. What should the nurse teach the patient about dietary intake? Have three full meals a day. Avoid highly seasoned and high-fiber foods. Maintain a diet of 3000 cal/day. Ensure a protein intake of 0.5g/kg, with kilograms referring to ideal body weight

avoid highly seasoned and high-fiber foods

The nurse is caring for a patient undergoing radioactive iodine therapy in the outpatient setting. What instructions should the nurse provide to this patient? Select all that apply. Avoid preparing food for others. Gargle with warm water before meals. Launder personal towels, bed linens, and clothes separately at home. Avoid being close to pregnant women or children for seven days after therapy. Discontinue antithyroid drugs after RAI therapy.

avoid preparing foods for others launder personal towels, bed linens, and clothes separately at home avoid being close to pregnant women or children for a week after therapy

What should the nurse include in dietary instructions provided to a patient who is diagnosed with hyperthyroidism? Select all that apply. Eat a high-fiber diet. Consume a high-calorie diet. Eat snacks high in protein. Avoid caffeinated beverages. Decrease the intake of carbohydrates.

consume high calorie diet each snacks high in protein avoid caffeinated beverages

The nurse is assessing a patient for hyperthyroidism. What are the manifestations of hyperthyroidism? Select all that apply. Enlarged scaly tongue Presence of bruits upon auscultation of the thyroid gland Presence of dry, thick, inelastic, and cold skin Presence of goiter detected on palpation of the thyroid gland Presence of clubbed and swollen fingers

bruits goiter clubbed swollen fingers

The nurse teaches a patient about diagnostic tests for ascertaining the presence of Cushing syndrome. Which advice would the nurse tell the patient to do to confirm the diagnosis? Select all that apply. "Check plasma adrenocorticotropic hormone (ACTH) levels." "Take blood chemistries for sodium, potassium, and calcium." "Opt for a complete blood count (CBC) with RBC differential." "Collect a 24-hour urine sample for testing free cortisol and 17-ketosteroids." "Undergo computed tomography (CT) scan or magnetic resonance imaging (MRI)."

check ACTH levels collect 24-hour urine sample undergo CT or MRI

A nurse is caring for a patient who underwent subtotal thyroidectomy because of the overproduction and release of thyroid hormone. Postoperative nursing interventions are important to prevent complications after surgery. Which nursing interventions should the nurse implement for safe, effective care? Select all that apply. Monitor vital signs and potassium levels. Control postoperative pain by administering medication. Place the patient supine and support the head with pillows. Assess for signs of tetany secondary to hypoparathyroidism. Assess the patient every two hours for signs of bleeding or tracheal compression.

control pain by admin med assess signs of tetany secondary to hypoparathyroidism (hypocalcemia) asses pt every 2 hours for signs of bleeding and tracheal compression

A patient with an endocrine disorder is prescribed corticosteroids. Which parameters should the nurse monitor for early detection of side effects? Select all that apply. Increased risk for ulcers Decreased bone density Increased potassium levels Decreased risk for infections Increased level of blood pressure

dec bone density inc level of blood pressure

The nurse is preparing a patient for a thyroid scan and radioactive iodine uptake (RAIU). Which interventions should the nurse perform? Select all that apply. Assess the patient for a reaction to iodine. Instruct the patient to lie still during the procedure. Instruct the patient to drink plenty of fluids for 24 to 48 hours. Inform the patient that radionuclide will be eliminated in 6 to 24 hours. Inform the patient that this test evaluates for the presence of thyroid nodules.

drink plenty of fluids inform radionuclide will eliminate in 6-24 hours inform pt that test evaluates presence of thyroid nodules

Which clinical manifestations does the nurse expect in a hospitalized patient diagnosed with Graves' disease? Select all that apply. Anemia Dysrhythmia Systolic murmurs Distant heart sounds Systolic hypertension

dysrhythmia systolic murmurs systolic hypertension

Which clinical manifestation is a classic finding in Graves' disease? Gingivitis Cretinism Exophthalmos Muscular dystrophy

exophthalmos

Activity intolerance in a patient with hypothyroidism is related to what? Fatigue Diarrhea Weight loss Nervousness

fatigue

Which parameter is assessed for corticosteroid imbalance after surgery in a patient with Cushing syndrome? Plantar Infection Fluid intake Oxygen saturation

fluid intake

The nurse assesses a patient that presents with eye protrusion. The patient states, "My eyes are dry and irritated." Based on these data, the nurse expects that what diagnosis will be made? Graves' disease Myxedema coma Diabetes insipidus Pheochromocytoma

graves

A patient reports weight loss, increased appetite, chest pain, and hair loss. Assessment findings include large and protruding eyes; skin that is warm, smooth, and moist; an elevated blood pressure; and an increased heart rate. The nurse suspects that the patient has which condition? Goiter Hyperthyroidism Addison's disease Hypoparathyroidism

hyperthyroidism

The nurse is caring for a patient who underwent removal of the thyroid gland (thyroidectomy) three days ago. The patient's serum chemistries reveal calcium of 3.2 mg/dL, potassium of 3.9 mEq/L, and phosphorus of 4.0 mg/dL. What condition do these findings indicate? Hypocalcemia Hypercalcemia Hyperkalemia Hypophosphatemia

hypocalcemia

Which is a clinical manifestation of Cushing syndrome? Hypovolemia Hypokalemia Hyperkalemia Hyponatremia

hypokalemia

Which nursing diagnostic statement is the highest priority for a patient with myxedema? Hypothermia Excess fluid volume Imbalanced nutrition: more than body requirements Risk for activity intolerance

hypothermia

A nurse is assessing a patient who has thick, dry skin; weight gain; and cold insensitivity. What possible cause does the nurse suspect? Hypothyroidism Hyperthyroidism Addison's disease Cushing syndrome

hypothyroidism

The nurse determines that the patient who is receiving radioactive iodine (RAI) therapy for the treatment of hyperthyroidism needs additional instructions when the patient makes which statement? "I will need to flush the toilet twice after I use it." "I should launder my laundry separately from those in my household." "I will need to take anti-thyroid drugs for 6 to 9 months after I begin RAI therapy." "If I develop a dry mouth I may gargle with a salt and soda mixture for relief."

i will need to take anti-thyroid drugs for 6-9 months after RAI therapy

A patient has just begun long-term corticosteroid therapy. The nurse determines that the patient requires further education when making which statement? "I may need to monitor my blood sugar more frequently." "If I begin to gain weight I should stop taking my medication." "It is important that I stay away from people who have contagious illnesses." "I understand my appearance may change as fat tissue increases in my face and trunk."

if i begin to gain weight I should stop takin my meds

The nurse working in an endocrine clinic knows that Trousseau's sign is an important diagnostic tool. Which statement best describes how to conduct the test for Trousseau's sign? Depress the skin over the sternum for one minute Observe for circumoral twitches following speaking Tap two fingers anterior to the front of the patient's ear Inflate a blood pressure cuff above the antecubital space

inflate blood pressure cuff

The nurse is caring for a patient admitted with suspected hyperparathyroidism. Because of the potential effects of this disease on electrolyte balance, the nurse should assess this patient for what manifestation? Neurologic irritability Declining urine output Lethargy and weakness Hyperactive bowel sounds

lethargy and weakness

The nurse is teaching a patient with Cushing syndrome about home care. Which statement made by the patient indicates effective learning? "I don't require a home health nurse." "I will take acetaminophen if I have fever." "I will wear a Medic Alert bracelet all the time." "I can't take corticosteroid therapy for lifetime."

medic alert

The nursing care of a patient who had a parathyroidectomy should include which actions? Select all that apply. Monitor intake and output Monitor for Babinski's sign Ensure that intravenous (IV) calcium is available Instruct patient to maintain bed rest for 48 hours Assess for numbness and tingling of the hands and mouth

monitor I&O ensure IV calcium is available assess numbness and tingling in hands and mouth

The health care provider was unable to spare a patient's parathyroid gland during a thyroidectomy. Which assessments should the nurse prioritize when providing postoperative care for this patient? Assessing the patient's white blood cell levels and assessing for infection Monitoring the patient's hemoglobin, hematocrit, and red blood cell levels Monitoring the patient's serum calcium levels and assessing for signs of hypocalcemia Monitoring the patient's level of consciousness and assessing for acute delirium or agitation

monitor calcium and assess for signs of hypocalcemia

A patient is referred for a non-contrast magnetic resonance imaging (MRI) scan for radiologic evaluation of the pituitary gland. Which pre-procedure teaching would the nurse provide to the patient? Select all that apply. Inform the patient that a 6-hour fast is required. Explain that the test is noninvasive. Assess serum BUN and creatinine. Assure the patient that the test is painless. Inform the patient of the need to lie still during the procedure.

noninvasive painless need to lie still

The nurse is preparing to administer levothyroxine to a patient newly diagnosed with hypothyroidism. The patient's resting heart rate is 110. Which initial action should the nurse take? Administer the medication Notify the health care provider Obtain a blood pressure measurement Administer all other scheduled medications except levothyroxine

obtain BP

What is the rationale for checking Trousseau's sign in a patient following a subtotal thyroidectomy? To assess for parathyroid gland injury To assess for serum hypercalcemia To assess for high phosphorus levels To assess for an iodine deficiency

parathyroid gland injury

The nurse is teaching care guidelines to the parent of a child with hypothyroidism. During the follow-up visit, the nurse suspects that the child may be receiving ineffective treatment. Which action of the parent supports the nurse's suspicion? The parent is giving the child fiber-rich food. The parent gives the child a thyroid supplement after meals. The mother gives the child a thyroid supplement each morning. The mother encourages the child to increase activity and exercise.

parent gives child thyroid supplement after meals

The registered nurse is teaching a student nurse about assessing a patient with Cushing syndrome who is on corticosteroid therapy. Which statement made by the student nurse about assessment would need correction? "I will assess the risk for infection." "I will assess for postural changes." "I will assess for imbalanced nutrition." "I will assess for disturbed body image."

postural changes

A patient has been taking oral prednisone for the past several weeks after having an exacerbation of asthma. The nurse has explained the procedure for gradual reduction rather than sudden cessation of the drug. What is the rationale for this approach to drug administration? Prevention of hypothyroidism Prevention of diabetes insipidus Prevention of adrenal insufficiency Prevention of cardiovascular complications

prevention of adrenal insufficiency

Which type of health education should a nurse provide to a patient who is on corticosteroid therapy? Select all that apply. Co-administer opioids. Restrict sodium intake. Reduce physical exercise. Maintain a high-protein diet. Ensure adequate rest and sleep.

restrict sodium intake maintain high protein diet ensure adequate rest and sleep

The nurse anticipates that which interventions will be prescribed for a patient that is admitted to the intensive care unit (ICU) with myxedema coma? Select all that apply. Oxygen therapy Strict input and output Low-pressure mattress Oral thyroid medication Continuous cardiac monitoring

strict I&O low pressure mattress continuous cardiac monitoring

Which nursing interventions are appropriate when providing care to a patient that is recovering from a thyroidectomy? Select all that apply. Assessing for tetany Monitoring vital signs Monitoring potassium levels Assessing the patient every two hours on the first postoperative day Placing the patient in a high Fowler's position

tetany vital signs assess ever 2 hours

A patient has sought care because of a loss of 25 lb over the past six months during which the patient states that he or she has made no significant dietary changes. For what potential problem should the nurse assess the patient? Thyroid disorders Diabetes insipidus Pituitary dysfunction Parathyroid dysfunction

thyroid disorder (hyper)

The patient experiencing thyrotoxicosis asks the nurse why he or she is being given propranolol. What is the most accurate answer to the patient's question? To suppress thyroid hormone secretion To prevent thyroid hormone induced hypotension To decrease thyroid gland vascularity in preparation for surgery To block the sympathetic nervous system response to excess thyroid hormone

to block SNS response to excess thyroid hormone

A patient is just returning to the surgical floor from the recovery room after undergoing a thyroidectomy. What is the nurse's priority nursing intervention? Have a tracheostomy tray at the bedside. Closely monitor the patient's emotional state. Avoid touching the patient's neck and shoulders. Maintain hydration status with small sips of water.

tracheostomy tray

A nurse is caring for a patient admitted for hyperthyroidism. What laboratory results will the nurse expect to see in the electronic chart to confirm hyperthyroidism? Select all that apply. Elevated TSH level Undetectable TSH level Low free thyroxine (free T 4) level Elevated free thyroxine (free T 4) level Low thyroid-stimulating hormone (TSH) level

undetecable TSH elevated T4 low TSH

The nurse is teaching the patient and caregiver about managing hypothyroidism. What instruction should the nurse give the patient? Use soap sparingly. Avoid applying lotions to the skin. Use an enema if required. Reduce intake of dietary fiber.

use soap sparingly

A patient who is diagnosed with hypothyroidism and coronary artery disease (CAD) states to the nurse, "I am constipated. My spouse wants me to try an enema to help relieve my discomfort." The nurse educates the patient that using enemas is contraindicated due to the diagnosis. Which is the rationale for this contraindication? Vagus nerve stimulation Olfactory nerve stimulation Abducens nerve stimulation Hypoglossal nerve stimulation

vagus nerve stimulation

Which clinical manifestations does the nurse expect to assess in a patient that is diagnosed with hyperthyroidism? Select all that apply. Weight loss Protrusion of the eye balls Thick, cold, and dry skin Elevated blood pressure Purplish red marks on abdomen

weight loss protrusion of eyes elevated blood pressure