NURS 480 FINAL Health Latest recent and
frequently tested exam with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+
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,The thyroid produces what three hormones? - correct ans:- TSH
- T3
- T4
HYPERthyroid- Thyroid Storm Problem - correct ans:Graves Disease (Gains "High")
- Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
Thyrotoxicosis results in? - correct ans:Hypermetabolic state
Labs of Thyroid storm - correct ans:HIGH T3 & T4
Low TSH
Hyperthyroid- Thyroid Stom Assessment - correct ans:- Grape eye "exophthalmos"
- Golf balls in throat "goiter"
- High BP- HTN crisis 180/100
- Higher HR tachycardia
- Heart palpitations + atrial fibrillation
- High temp= NOT DRY
- Hot & Sweaty Skin "diaphoresis"
- Heat intolerance
- High GI "diarrhea"
Hyperthyroid Thyroid Storm NUTRITION NEEDS: - correct ans:-High metabolism
- High calories
- High protein & carbs
,- Not high fiber= LOW fiber
- No caffeine
- No spicy food
Hyperthyroid Thyroid Storm NURSING INTERVENTIONS - correct ans:- Patent airway! ABCs
- ECG (dysrhythmia monitoring)
- Acetaminophen (decreased temp)
- Meds, IVF, O2 (administer antithyroid medications)
- Minimize the client's energy expenditure, calm environment
- Safety monitoring (mental status, room temp, change in behavior)
- Nutrition, I&O, weight, VS, ECG
- Provide eye protection for a client who has exophthalmos
- Administer antithyroid medications
Hyperthyroid Medication: THIONAMIDES - correct ans:Methimazole & Propylthiouracil
THIONAMIDES:Methimazole & Propylthiouracil - correct ans:MOA: inhibits the production of thyroid
hormone
Nursing: Monitor for hypothyroidism, CBC for leukopenia or thrombocytopenia, hepatotoxicity
Edu: Therapeutic medication level, report fever, sore throat, jaundice, or bruising to the provider,
dietary intake of iodine
Hyperthyroid Medication: BETA-ADRENERGIC BLOCKERS - correct ans:Metoprolol
BETA-ADRENERGIC BLOCKERS: Metoprolol - correct ans:Use: Treat sympathetic nervous system effects
(tachycardia, palpitations). Counteract the effects of increased thyroid hormones without affecting level
of hormone
, Nursing: Monitor blood pressure, heart rate, & ECG, hypoglycemia in clients who have diabetes mellitus
Edu: Hypotension, dizziness. Bradycardia (Check for pulse prior to taking each dose & notify the provider
if heart rate falls below 60/min.)
Hyperthyroid Medication: What is the medication given prior to a thyroidectomy? - correct ans:Iodine
Solutions
Iodine Solutions - correct ans:MOA: Inhibits the release of thyroid hormone, reduces gland size &
prevents excess bleeding (short-term use only, taken for 10 days followed by surgery)
What are the three main complications for a thyroidectomy? - correct ans:- Airway obstruction
- Hypocalcemia
- Nerve damage
What nursing actions should the RN do if/ to prevent airway obstruction occurring from a thyroidectomy
complication? - correct ans:- Call RRT for SOB or stridor
- Keep tracheostomy tray & suction at bedside
- High fowler's post op
- Use humidified air (thins secretions)
What nursing actions should the RN do if/ to prevent hypocalcemia from occurring from a
thyroidectomy complication? - correct ans:- Keep IV calcium gluconate on hand for hypocalcemia (S/S of
hypocalcemia numbness, tingling, cheyenne's sign)
- Seizure precaution
What is the priority assessment for a thyroidectomy? - correct ans:- SOB
- Fever
- Restlessness
- Palpitations
- ABD pain
frequently tested exam with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
CONTACT INFORMATION
WHATAPPSLINK- https://wa.me/254784769540
,The thyroid produces what three hormones? - correct ans:- TSH
- T3
- T4
HYPERthyroid- Thyroid Storm Problem - correct ans:Graves Disease (Gains "High")
- Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
Thyrotoxicosis results in? - correct ans:Hypermetabolic state
Labs of Thyroid storm - correct ans:HIGH T3 & T4
Low TSH
Hyperthyroid- Thyroid Stom Assessment - correct ans:- Grape eye "exophthalmos"
- Golf balls in throat "goiter"
- High BP- HTN crisis 180/100
- Higher HR tachycardia
- Heart palpitations + atrial fibrillation
- High temp= NOT DRY
- Hot & Sweaty Skin "diaphoresis"
- Heat intolerance
- High GI "diarrhea"
Hyperthyroid Thyroid Storm NUTRITION NEEDS: - correct ans:-High metabolism
- High calories
- High protein & carbs
,- Not high fiber= LOW fiber
- No caffeine
- No spicy food
Hyperthyroid Thyroid Storm NURSING INTERVENTIONS - correct ans:- Patent airway! ABCs
- ECG (dysrhythmia monitoring)
- Acetaminophen (decreased temp)
- Meds, IVF, O2 (administer antithyroid medications)
- Minimize the client's energy expenditure, calm environment
- Safety monitoring (mental status, room temp, change in behavior)
- Nutrition, I&O, weight, VS, ECG
- Provide eye protection for a client who has exophthalmos
- Administer antithyroid medications
Hyperthyroid Medication: THIONAMIDES - correct ans:Methimazole & Propylthiouracil
THIONAMIDES:Methimazole & Propylthiouracil - correct ans:MOA: inhibits the production of thyroid
hormone
Nursing: Monitor for hypothyroidism, CBC for leukopenia or thrombocytopenia, hepatotoxicity
Edu: Therapeutic medication level, report fever, sore throat, jaundice, or bruising to the provider,
dietary intake of iodine
Hyperthyroid Medication: BETA-ADRENERGIC BLOCKERS - correct ans:Metoprolol
BETA-ADRENERGIC BLOCKERS: Metoprolol - correct ans:Use: Treat sympathetic nervous system effects
(tachycardia, palpitations). Counteract the effects of increased thyroid hormones without affecting level
of hormone
, Nursing: Monitor blood pressure, heart rate, & ECG, hypoglycemia in clients who have diabetes mellitus
Edu: Hypotension, dizziness. Bradycardia (Check for pulse prior to taking each dose & notify the provider
if heart rate falls below 60/min.)
Hyperthyroid Medication: What is the medication given prior to a thyroidectomy? - correct ans:Iodine
Solutions
Iodine Solutions - correct ans:MOA: Inhibits the release of thyroid hormone, reduces gland size &
prevents excess bleeding (short-term use only, taken for 10 days followed by surgery)
What are the three main complications for a thyroidectomy? - correct ans:- Airway obstruction
- Hypocalcemia
- Nerve damage
What nursing actions should the RN do if/ to prevent airway obstruction occurring from a thyroidectomy
complication? - correct ans:- Call RRT for SOB or stridor
- Keep tracheostomy tray & suction at bedside
- High fowler's post op
- Use humidified air (thins secretions)
What nursing actions should the RN do if/ to prevent hypocalcemia from occurring from a
thyroidectomy complication? - correct ans:- Keep IV calcium gluconate on hand for hypocalcemia (S/S of
hypocalcemia numbness, tingling, cheyenne's sign)
- Seizure precaution
What is the priority assessment for a thyroidectomy? - correct ans:- SOB
- Fever
- Restlessness
- Palpitations
- ABD pain
