nurs 342 Exam Questions With Complete Solutions
• Current & past health - Correct Answers - family history
• Management & treatment: of thyroid storm Correct Answers
Control fever (106F, ice heating blankets) & rehydrate via IV
Treat tachycardia (120-130)&reverse other S/S:
Potassium iodide + PTU + Propranolol.
Treat precipitating cause, i.e.,UTI
Education on preventing thyroid storm
Medtitration by endocrinologist
Report s/s of infection, rash or sorethroat. (Cipro )
• Management: of Goider. Correct Answers Lugol's solution
Dietary recommendations
Ingestion of iodized salt
Avoid goitrogens (i.e., spinach).
Medical goitrogens: Sulfonides, lithium &
amiodorone.
,• Nursing interventions & complications (Thyroidectomy )
Correct Answers Respiratory obstruction ( pale not able to
speak)& laryngeal nerve damage( horse voise)
Risk for bleeding.
• Signs/Symptoms of Goiter Correct Answers • Swelling in
front of neck ( due to hypo or hyper thyrodism
• Dysphagia
• Respiratory problems
• Symptoms: •DIABETES INSIPIDUS Correct Answers
Polydipsia&polyuria 5- 20 L/day
• Dehydration- fatigue, tiredness,
• Low specific gravity ≤1.005.
• Urine osmolality ≤100 mOsm/kg very deluded
▫ Antithyroid meds Correct Answers •Propylthiouracil (PTU)
OR Methimazole (Tapazole)
Plus beta blockers: Propranolol.
Titration of meds is individualised.
Acromegaly
,(is more of symptom of hyperpituitarism)) Correct Answers
AKA hyperpituitarism
Addison's AKA: Adrenocortical Insufficiency common in
clients with Correct Answers TB & AIDS. rare, metastatic
cancer.
Addison's AKA: Adrenocortical Insufficiency. Correct Answers
Autoimmune commonly response to adrenal tissue that
malfunctioning. Aldosterone cortisone.
Addisonian Crisis Correct Answers Life threatening condition
if not treated with hydrocortisone IV
Adenoma usually benine or malignant? Correct Answers
Benine.
After pt has had pituitary removed assess for what? Correct
Answers Cerebral edema changes in the conciseness,
(Speech) .Closely monitor for CSF.
After thyredectomy what should we have at the bed side?
Correct Answers O2, suction equipment, trachyostomy tray
, After Transsphenoidal hypophysectomy Avoid what? Correct
Answers Risk for hemorrhaging ( avoid coughing, sneezing,
laughing hard, do not bend over the west, b/c increases pressure,
do not brash teeth for 10 days, use tooth cleansing sponge.) no
bed rest.Risk for hemorrhaging
After Transsphenoidal hypophysectomy HOB should be at what
degree? Correct Answers HOB 30 degrees to reduce pressure
and decrease risk of headache.
After Trassfenoidal hypotysectomy Correct Answers
Hypokalemia must be corrected with diet & potassium
supplements.
Check urine specific gravity and amount of urinary output. 24-
48 hr b/c they are at risk for DI.
Aldosterone Correct Answers maintaince Na water balance.
( water homeostasis)
ASSESSMENT Correct Answers It is harder to diagnose b/c
there is so many glans, also symptoms may be very vague and
intermittent.( vague b/c body is trying to compensate)
biggest complication of hyperthyrodism is Correct Answers
thyroid storm ( thyroid toxicosis)
• Current & past health - Correct Answers - family history
• Management & treatment: of thyroid storm Correct Answers
Control fever (106F, ice heating blankets) & rehydrate via IV
Treat tachycardia (120-130)&reverse other S/S:
Potassium iodide + PTU + Propranolol.
Treat precipitating cause, i.e.,UTI
Education on preventing thyroid storm
Medtitration by endocrinologist
Report s/s of infection, rash or sorethroat. (Cipro )
• Management: of Goider. Correct Answers Lugol's solution
Dietary recommendations
Ingestion of iodized salt
Avoid goitrogens (i.e., spinach).
Medical goitrogens: Sulfonides, lithium &
amiodorone.
,• Nursing interventions & complications (Thyroidectomy )
Correct Answers Respiratory obstruction ( pale not able to
speak)& laryngeal nerve damage( horse voise)
Risk for bleeding.
• Signs/Symptoms of Goiter Correct Answers • Swelling in
front of neck ( due to hypo or hyper thyrodism
• Dysphagia
• Respiratory problems
• Symptoms: •DIABETES INSIPIDUS Correct Answers
Polydipsia&polyuria 5- 20 L/day
• Dehydration- fatigue, tiredness,
• Low specific gravity ≤1.005.
• Urine osmolality ≤100 mOsm/kg very deluded
▫ Antithyroid meds Correct Answers •Propylthiouracil (PTU)
OR Methimazole (Tapazole)
Plus beta blockers: Propranolol.
Titration of meds is individualised.
Acromegaly
,(is more of symptom of hyperpituitarism)) Correct Answers
AKA hyperpituitarism
Addison's AKA: Adrenocortical Insufficiency common in
clients with Correct Answers TB & AIDS. rare, metastatic
cancer.
Addison's AKA: Adrenocortical Insufficiency. Correct Answers
Autoimmune commonly response to adrenal tissue that
malfunctioning. Aldosterone cortisone.
Addisonian Crisis Correct Answers Life threatening condition
if not treated with hydrocortisone IV
Adenoma usually benine or malignant? Correct Answers
Benine.
After pt has had pituitary removed assess for what? Correct
Answers Cerebral edema changes in the conciseness,
(Speech) .Closely monitor for CSF.
After thyredectomy what should we have at the bed side?
Correct Answers O2, suction equipment, trachyostomy tray
, After Transsphenoidal hypophysectomy Avoid what? Correct
Answers Risk for hemorrhaging ( avoid coughing, sneezing,
laughing hard, do not bend over the west, b/c increases pressure,
do not brash teeth for 10 days, use tooth cleansing sponge.) no
bed rest.Risk for hemorrhaging
After Transsphenoidal hypophysectomy HOB should be at what
degree? Correct Answers HOB 30 degrees to reduce pressure
and decrease risk of headache.
After Trassfenoidal hypotysectomy Correct Answers
Hypokalemia must be corrected with diet & potassium
supplements.
Check urine specific gravity and amount of urinary output. 24-
48 hr b/c they are at risk for DI.
Aldosterone Correct Answers maintaince Na water balance.
( water homeostasis)
ASSESSMENT Correct Answers It is harder to diagnose b/c
there is so many glans, also symptoms may be very vague and
intermittent.( vague b/c body is trying to compensate)
biggest complication of hyperthyrodism is Correct Answers
thyroid storm ( thyroid toxicosis)
