NSG 333- Exam 2 Questions and
Accurate Answers
Hypothyroidism: gland - Answer thyroid glan
Hypothyroidism: hormones - Answer High TSH, low T3 and T4
Hypothyroidism: patho - Answer Deficiency of thyroid hormone that causes general
slowing of the metabolic rate
Primary = destruction of thyroid tissue OR defective hormone synthesis
Secondary = pituitary disease w/ decreased TSH
Thyroiditis can be transient
Iodine deficiency is an issue worldwide
Autoimmune- Hashimoto's Thyroiditis
Hypothyroidism: S/S - Answer Fatigued
Lethargic
Personality and mental changes
Impaired memory
Slowed speech
Decreased initiative
Somnolence
Cold intolerance
Constipation
Dry skin
Brittle hair
Depression
Weight gain
Decreased CO
, Exercise intolerance
SOB
Anemia
Bruise easily
Myxedema (severe/untreated)
EVERYTHING IS SLOW
Hypothyroidism: labs - Answer Serum TSH and T4
Total serum T3 and T4
TPO antibodies
Hypothyroidism: Complications - Answer -MYXEDEMA COMA
Hypothyroidism: nursing interventions - Answer Return to euthyroid state as quickly and
safely as possible
Hormone therapy
Low calorie diet
Hypothyroidism: Pharm - Answer Levothyroxine is drug of choice
Life long therapy
6-8 weeks to see stabilization
Hypothyroidism: Pt education - Answer -Need for lifelong therapy
-Meds in the morning before food (<30 min before food)
-Regular follow up care
-Do not switch brands of thyroid med w/out supervision
-Comfort when cold intolerant
-Skin care- avoid harsh soaps and use lotion
-Avoid sedatives or use low dose
-Steps to avoid constipation
-Avoid enemas
-Cardiac patients and meds require extra monitoring
Accurate Answers
Hypothyroidism: gland - Answer thyroid glan
Hypothyroidism: hormones - Answer High TSH, low T3 and T4
Hypothyroidism: patho - Answer Deficiency of thyroid hormone that causes general
slowing of the metabolic rate
Primary = destruction of thyroid tissue OR defective hormone synthesis
Secondary = pituitary disease w/ decreased TSH
Thyroiditis can be transient
Iodine deficiency is an issue worldwide
Autoimmune- Hashimoto's Thyroiditis
Hypothyroidism: S/S - Answer Fatigued
Lethargic
Personality and mental changes
Impaired memory
Slowed speech
Decreased initiative
Somnolence
Cold intolerance
Constipation
Dry skin
Brittle hair
Depression
Weight gain
Decreased CO
, Exercise intolerance
SOB
Anemia
Bruise easily
Myxedema (severe/untreated)
EVERYTHING IS SLOW
Hypothyroidism: labs - Answer Serum TSH and T4
Total serum T3 and T4
TPO antibodies
Hypothyroidism: Complications - Answer -MYXEDEMA COMA
Hypothyroidism: nursing interventions - Answer Return to euthyroid state as quickly and
safely as possible
Hormone therapy
Low calorie diet
Hypothyroidism: Pharm - Answer Levothyroxine is drug of choice
Life long therapy
6-8 weeks to see stabilization
Hypothyroidism: Pt education - Answer -Need for lifelong therapy
-Meds in the morning before food (<30 min before food)
-Regular follow up care
-Do not switch brands of thyroid med w/out supervision
-Comfort when cold intolerant
-Skin care- avoid harsh soaps and use lotion
-Avoid sedatives or use low dose
-Steps to avoid constipation
-Avoid enemas
-Cardiac patients and meds require extra monitoring
