Exam 2 - Advanced Med Surg Galen College
of Nursing with answers
S/S |of |Hyperthyroidism |- |correct |answer |-Atrial |fibrillation, |bruit |or |thrill |over |the |thyroid, |
Diaphoresis, |Palpatations, |Tachycardia, |Heat |Intolerance, |Weight |loss
S/S |of |Hypothyroidism |- |correct |answer |-Fatigue, |Mental |sluggishness, |Hypothermia, |Dry |flaky |skin |
and |thinning |nails, |cold |intolerance, |weight |gane
What |sign |is |elicited |by |tapping |over |the |facial |nerve |and |results |in |a |spasm? |- |correct |answer |-
Chvostek |sign
What |does |a |positive |Chvostek's |sign |indicate? |- |correct |answer |-Hypocalcemia
What |other |sign |other |than |Chvostek's |sign |indicated |hypocalcemia? |- |correct |answer |-Trousseau's |
sign
If |a |patient |has |a |positive |Chvostek's |sign |what |is |a |possible |problem |that |could |arise? |- |correct |
answer |-Airway |ineffectiveness
TSH |levels |in |hyperthyroidism |are |increased |or |decreased? |- |correct |answer |-Decreased |(body |is |
trying |to |compensate)
T3 |and |T4 |levels |in |hyperthyroidism |are |increased |or |decreased? |- |correct |answer |-Increased
TSH |levels |in |hypothyroidism |are |increased |or |decreased? |- |correct |answer |-Increased |(body |is |
trying |to |compensate)
T3 |and |T4 |levels |in |hypothyroidism |are |increased |or |decreased? |- |correct |answer |-Decreased
, What |group |of |people |is |most |commonly |affected |by |hypothyroidism? |- |correct |answer |-women
Hypocalcemia |is |common |when |what |organ |is |injured |during |surgery? |- |correct |answer |-parathyroid
Dosages |of |this |drug |may |need |to |be |decreased |if |a |client |is |also |taking |levothyroxine |(Synthroid)?
|- |correct |answer |-Coumadin
When |should |levothyroxine |(Synthroid) |be |administered? |- |correct |answer |-In |the |morning, |2 |hours
|away |from |any |other |drug
Therapy |often |used |to |treat |hyperthyroidism |is |____________ |- |correct |answer |-Radioactive |Iodine |
or |Thyroidectomy
Name |one |factor |that |most |commonly |triggers |a |thyroid |storm? |- |correct |answer |-Stress
S/S |of |Thyroid |storm? |- |correct |answer |-High |Fever, |tachycardia, |nausea, |vomiting, |tremors, |
agitation, |psychosis
Client |teaching |for |Cushing's |Syndrome? |- |correct |answer |-Recognizing |the |signs |and |symptoms |of |
infection |and |fluid |retention
Client |teaching |for |Addison's |Disease? |- |correct |answer |-Carry |injectable |dexamethasone |
(Decadron), |will |have |to |take |this |medication |for |life
Client |teaching |for |Diabetes |Insipidus? |- |correct |answer |-Recognizing |the |signs |and |symptoms |of |
dehydration
Client |teaching |for |Diabetes |Mellitus? |- |correct |answer |-Self |monitoring |for |infection, |skin |
breakdown, |changes |in |peripheral |circulation, |poor |wound |healing, |numbness |in |extremities, |foot |
care
of Nursing with answers
S/S |of |Hyperthyroidism |- |correct |answer |-Atrial |fibrillation, |bruit |or |thrill |over |the |thyroid, |
Diaphoresis, |Palpatations, |Tachycardia, |Heat |Intolerance, |Weight |loss
S/S |of |Hypothyroidism |- |correct |answer |-Fatigue, |Mental |sluggishness, |Hypothermia, |Dry |flaky |skin |
and |thinning |nails, |cold |intolerance, |weight |gane
What |sign |is |elicited |by |tapping |over |the |facial |nerve |and |results |in |a |spasm? |- |correct |answer |-
Chvostek |sign
What |does |a |positive |Chvostek's |sign |indicate? |- |correct |answer |-Hypocalcemia
What |other |sign |other |than |Chvostek's |sign |indicated |hypocalcemia? |- |correct |answer |-Trousseau's |
sign
If |a |patient |has |a |positive |Chvostek's |sign |what |is |a |possible |problem |that |could |arise? |- |correct |
answer |-Airway |ineffectiveness
TSH |levels |in |hyperthyroidism |are |increased |or |decreased? |- |correct |answer |-Decreased |(body |is |
trying |to |compensate)
T3 |and |T4 |levels |in |hyperthyroidism |are |increased |or |decreased? |- |correct |answer |-Increased
TSH |levels |in |hypothyroidism |are |increased |or |decreased? |- |correct |answer |-Increased |(body |is |
trying |to |compensate)
T3 |and |T4 |levels |in |hypothyroidism |are |increased |or |decreased? |- |correct |answer |-Decreased
, What |group |of |people |is |most |commonly |affected |by |hypothyroidism? |- |correct |answer |-women
Hypocalcemia |is |common |when |what |organ |is |injured |during |surgery? |- |correct |answer |-parathyroid
Dosages |of |this |drug |may |need |to |be |decreased |if |a |client |is |also |taking |levothyroxine |(Synthroid)?
|- |correct |answer |-Coumadin
When |should |levothyroxine |(Synthroid) |be |administered? |- |correct |answer |-In |the |morning, |2 |hours
|away |from |any |other |drug
Therapy |often |used |to |treat |hyperthyroidism |is |____________ |- |correct |answer |-Radioactive |Iodine |
or |Thyroidectomy
Name |one |factor |that |most |commonly |triggers |a |thyroid |storm? |- |correct |answer |-Stress
S/S |of |Thyroid |storm? |- |correct |answer |-High |Fever, |tachycardia, |nausea, |vomiting, |tremors, |
agitation, |psychosis
Client |teaching |for |Cushing's |Syndrome? |- |correct |answer |-Recognizing |the |signs |and |symptoms |of |
infection |and |fluid |retention
Client |teaching |for |Addison's |Disease? |- |correct |answer |-Carry |injectable |dexamethasone |
(Decadron), |will |have |to |take |this |medication |for |life
Client |teaching |for |Diabetes |Insipidus? |- |correct |answer |-Recognizing |the |signs |and |symptoms |of |
dehydration
Client |teaching |for |Diabetes |Mellitus? |- |correct |answer |-Self |monitoring |for |infection, |skin |
breakdown, |changes |in |peripheral |circulation, |poor |wound |healing, |numbness |in |extremities, |foot |
care
