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NSG 210 METABOLISM AND ADDICTION QUIZ AND VERIFIED ANSWERS| 100% CORRECT| GRADE A (LATEST 2024/ 2025)

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TSH levels - T3 and T4 should have checked every year From the anterior pituitary Controls release of thyroid hormone Grave's Disease - autoimmune disease Most common cause of hyperthyroidism

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NSG 210 METABOLISM AND ADDICTION QUIZ AND VERIFIED ANSWERS| 100%
CORRECT| GRADE A (LATEST 2024/ 2025)


TSH levels - ✔✔T3 and T4

should have checked every year

From the anterior pituitary

Controls release of thyroid hormone



Grave's Disease - ✔✔autoimmune disease

Most common cause of hyperthyroidism



Thyrotoxicosis - ✔✔Excessive output of thyroid hormone (thyroid storm)



Autoimmune disorder - ✔✔body attacks itself



Who is eight times more likely than men to have hyperthyroidism? - ✔✔Women



Hyperthyroidism signs and symptoms - ✔✔Nervousness

Rapid pulse

Heat intolerance

Tremors

Skin flushed, warm, soft and moist

Exophthalmos

Increased appetite

Weight loss

Elevated systolic BP

Cardiac dysrhythmias

, If patient is in ER with palpitations, going to ? - ✔✔Get TSH level



Which med blocks synthesis of thyroid hormone? - ✔✔Methimazole



Which meds suppress release of thyroid hormone? - ✔✔Dexamethasone, Potassium iodide, and sodium
iodide



Thyroidectomy - ✔✔Treatment of choice for thyroid cancer

Modified or radical neck dissection

Possible radioactive iodine to minimize metastasis



Thyroidectomy pre op goals - ✔✔Reduce stress and anxiety to avoid thyroid storm

Educate about diet to meet metabolic needs, avoid caffeine and stimulants (already elevated BP and HR
these increase even more), explain tests and procedures, and head/neck support after surgery

Stop blood thinners (heparin, warfarin, aspirin)



Thyroidectomy post op care - ✔✔Monitor RR, potential airway complications

Monitor for bleeding and hematoma, check back of dressing

Assess pain and provide relief measures

Semi fowler's position, support head and neck

Assess voice and discourage talking

Potential for hypocalcemia



Parathyroid glands - ✔✔4 glands on the posterior thyroid gland

Regulates calcium and phosphorus

Increased PTH increases blood calcium by increasing calcium absorption in kidneys, intestines, and bone

PTH lowers phosphorus levels

Plays part in fertility

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