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NURS 5433 M5-Endocrine-Thyroid Questions and Answers|Accurate|Verified

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NURS 5433 M5-Endocrine-Thyroid Questions and Answers

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NURS 5433
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NURS 5433

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NURS 5433 M5-Endocrine-Thyroid Questions and Answers


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Term



What is hyperthyroidism?



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body's tissues are exposed to
body's tissues are exposed to normal
decreased level of circulating thyroid
level of circulating thyroid hormone
hormone which causes sluggish
which maintains metabolic stability
metabolic activity




body's tissues are exposed to body's tissues are exposed to
increased level of circulating fluctuating levels of thyroid hormone
thyroid hormone which causes which cause intermittent metabolic
excessive metabolic activity activity


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, 2 of 95

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How do you dose levothyroxine in an adult under the age of 50?



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1.6-1.8mcg/kg.


Use IDEAL body weight for an overweight individual. Use ACTUAL body
weight for an underweight individual




on empty stomach in the morning. Take 3-4 hours before zoloft, antacids, carafate,
iron, cholestyramine, and any anticonvulsants




calcium carbonate, high doses vitamin D, daily injections of PTH hormone for severe
cases




25-50mcg PO daily of levothyroxine and monitor every 3 months. Treatment is
controversial, but most patients with subclinical usually do develop hypothyroidism


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What will labs look like in a patient with hypoparathyroid?



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decreased PTH, decreased
normal PTH, high ionized calcium,
ionized calcium, high
low magnesium.
phosphate.




increased PTH, increased ionized decreased PTH, normal ionized
calcium, low phosphate. calcium, low potassium.


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4 of 95

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What are some s/s of a thyroid nodule?



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hoarsness, dysphagia, chocking
muscle weakness, joint pain, hair loss,
sensation, dyspnea, cough,
insomnia
cervical lymphadenopathy

, chest pain, nausea, dizziness, blurred
fever, weight loss, fatigue, skin rash
vision


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5 of 95

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Who should be treated with I-131?



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adults who have not responded
adults with stable thyroid function well to anti-thyroid medications
or a subtotal thyroidectomy




adolescents with autoimmune
children with mild thyroid issues
thyroiditis


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