NURSING EXAMS
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NURSE WISEMAN 2026/2027 MEDICINE
,NURS 480 FINAL EXAM STUDY GUIDE
(EXAM 3 Content) Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
The thyroid produces what three hormones?
- TSH
- T3
- T4
HYPERthyroid- Thyroid Storm Problem
Graves Disease (Gains "High")
- Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
Thyrotoxicosis results in?
Hypermetabolic state
Labs of Thyroid storm
HIGH T3 & T4
Low TSH
Hyperthyroid- Thyroid Stom Assessment
,- 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:
-High metabolism
- High calories
- High protein & carbs
- Not high fiber= LOW fiber
- No caffeine
- No spicy food
Hyperthyroid Thyroid Storm NURSING INTERVENTIONS
- 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
Methimazole & Propylthiouracil
THIONAMIDES:Methimazole & Propylthiouracil
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
Metoprolol
BETA-ADRENERGIC BLOCKERS: Metoprolol
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
• Nursing Exam Prep Made Easy — Get
Your Documents Today!
NURSE WISEMAN 2026/2027 MEDICINE
,NURS 480 FINAL EXAM STUDY GUIDE
(EXAM 3 Content) Nurse Practitioners
Review Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A+
The thyroid produces what three hormones?
- TSH
- T3
- T4
HYPERthyroid- Thyroid Storm Problem
Graves Disease (Gains "High")
- Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
Thyrotoxicosis results in?
Hypermetabolic state
Labs of Thyroid storm
HIGH T3 & T4
Low TSH
Hyperthyroid- Thyroid Stom Assessment
,- 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:
-High metabolism
- High calories
- High protein & carbs
- Not high fiber= LOW fiber
- No caffeine
- No spicy food
Hyperthyroid Thyroid Storm NURSING INTERVENTIONS
- 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
Methimazole & Propylthiouracil
THIONAMIDES:Methimazole & Propylthiouracil
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
Metoprolol
BETA-ADRENERGIC BLOCKERS: Metoprolol
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
