Healthcare Delivery Systems-Exam Study
Guide – Practice Questions & Verified
Answers
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Whether you are studying weeks in advance or reviewing shortly before an exam, this guide
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perform at your best.
A valuable study resource for students who want to prepare smarter and succeed in their
exams.
T/F: Disorders of the thyroid is one of the most common endocrine issues (alongside diabetes) --
----- ✔ CORRECT ANSWER ✓✓True !!
what is the most common form of hyperthyroidism? ------- ✔ CORRECT ANSWER ✓✓Graves
disease
What is hyperthyroidism? ------- ✔ CORRECT ANSWER ✓✓decreased TSH with elevated free T4
(& T3) increases the metabolic rate
A sustained increase in synthesis and release of thyroid hormones by thyroid gland
Describe the clinical manifestations of the client with thyroid dysfunction: HYPERTHYROIDISM --
----- ✔ CORRECT ANSWER ✓✓- heat intolerance (man on fire)
- exophthalmos (protruding eyes)--seen in graves
- warm moist skin & silky hair
- fine tremor
- goiter (can be in bother hyper and hypo)
- diarrhea
- weight loss (bc increase in metabolic weight)
,- tachycardia
- amenorrhea
diagnostic test for hyperthyroidism ------- ✔ CORRECT ANSWER ✓✓radioactive iodine uptake-
sees how much iodine is taken up from iodine pill
T/F: Hyperthyroidism occurs most often in women ------- ✔ CORRECT ANSWER ✓✓True! being a
women is fun
when is the highest frequency seen for hyperthyroidism? ------- ✔ CORRECT ANSWER
✓✓Highest frequency between ages 20 to 40 years
nursing management of the client with HYPERTHYROIDISM ------- ✔ CORRECT ANSWER ✓✓•
Block adverse effects of thyroid hormones
• Suppress hormone oversecretion
• Prevent complications
Three primary treatment options
1. Antithyroid medications - work best for mild hyperthyroidism • Too high of dosing can lead to
hypothyroid issues
• Block formation of thyroid hormone by thyroid gland
• Propylthiouracil (PTU)
• Methimazole (Tapazole)
2. Radioactive iodine therapy (RAI)
3. Surgery
, • Thyroidectomy- usually subtotal to remove a large portion (up to 50-90%) of the thyroid
nursing management of the client with HYPERTHYROIDISM (NTR) ------- ✔ CORRECT ANSWER
✓✓High-calorie diet (4000 to 5000 cal/day)
• Six full meals/day with snacks in between
• Protein intake: 1 to 2 g/kg ideal body weight
• Increased carbohydrate intake Avoid highly seasoned and high-fiber foods, caffeine Dietitian
referral
interpret lab values related to hyperthyroidism ------- ✔ CORRECT ANSWER ✓✓- low or
undecteable TSH
- increase in total T3 & T4
- Radioactive iodine uptake (RAIU)
acute thyrotoxicosis (thyroid storm) ------- ✔ CORRECT ANSWER ✓✓• an acute, severe, and rare
condition that occurs when excess amounts of thyroid hormones are released into circulation.
• LIFE THREATENING
• Death rare when treatment started early
• Results from stressors
• Thyroidectomy patients at risk
acute thyrotoxicosis (thyroid storm) CM ------- ✔ CORRECT ANSWER ✓✓• Severe tachycardia,
heart failure
• Shock
• Hyperthermia (up to 106° F [41.1° C])
• Agitation
• Seizures