NR 464 EXAMINATION MANUAL 2025 QUESTIONS WITH
ANSWERS GUARANTEE A+
✔✔Why does serum calcium need to be monitored after thyroidectomy - ✔✔parathryoid
gland stimulation causes bone reuptake of calcium decreasing serum calcium levels
✔✔What are signs of hypocalcemia - ✔✔trousseaus
chovesteks sign
✔✔What is home care teaching for hyperthyroid after thyroidectomy - ✔✔monitor
hormones
decrease calories
adequate iodine intake
exercise
avoid increase temps
follow up
may need lifelong replacement
✔✔What is hypothyroidism - ✔✔insufficient thyroid hormone
common causes: iodine deficiency, atrophy of the gland, treatment for hyperthyroidism,
drugs
✔✔What are the clinical manifestations of hypothyroidism - ✔✔Hypometabolism
slow changes: fatigue, lethargy, mental changes, cardiac decreased HR, cold
intolerance, dry cold skin, weight gain, thin hair, constipation, edema, depression
✔✔What is myxedema coma - ✔✔due to accumulation of hyrophilic
muscopolysccharides in the dermis and other tissues.
Very cold and slow breathing
administer IV thyroid hormones
✔✔What is primary hypothyroidism - ✔✔Elevated TSH and decreased T3 T4
✔✔What is secondary hypothyroidism - ✔✔Decreased TSH and decreased T3 T4
✔✔How do you care for a patient with hypothyroidism - ✔✔Skin care, vital signs, I/O,
edema, cardiac response to hormone, energy level
✔✔What is Levothyroxine (Synthroid) - ✔✔PO or IV
start with low dose and increase
Raises TSH levels
Lifelong treatment
✔✔What is ambulatory care for hypothyroidism - ✔✔Need lifelong therapy
, take in morning on empty stomach
Do not switch brands
follow up care
Symptoms of hypo or hyper
help constipation
✔✔What is Diabetes Insipidus - ✔✔under secretion of ADH
✔✔What are the causes of diabetes insipidus - ✔✔fluid electrolyte imbalance, lesion on
pituitary, kidney is nonresponsive, excessive water intake
✔✔What are the clinical manifestations of Diabetes insipidus - ✔✔polydipsia, polyuria,
elevated serum osmolality
low specific gravity
✔✔What are the diagnostic studies for diabetes insipidus - ✔✔serum labs
water deprivation test
✔✔How do you treat diabetes insipidus - ✔✔treat central cause
fluid replacement
hormone replacement
I/O
Daily weights
Low Na diet
✔✔What are the drugs given for diabetes insipidus - ✔✔DDAVP - desmopression
acetate nasal spray
Vasopressin
✔✔What is Syndrome of inappropriate ADH - ✔✔SIADH
over secretion of ADH
Hold on to fluids
✔✔What does SIADH lead to - ✔✔Hyponatremia
✔✔What are causes of SIADH - ✔✔often in elderly
lung cancer
head trauma
drugs
✔✔What are the clinical manifestations of SIADH - ✔✔dilutional hyponatremia
Fluid retention
Serum hypoosmolality
Weight gain
ANSWERS GUARANTEE A+
✔✔Why does serum calcium need to be monitored after thyroidectomy - ✔✔parathryoid
gland stimulation causes bone reuptake of calcium decreasing serum calcium levels
✔✔What are signs of hypocalcemia - ✔✔trousseaus
chovesteks sign
✔✔What is home care teaching for hyperthyroid after thyroidectomy - ✔✔monitor
hormones
decrease calories
adequate iodine intake
exercise
avoid increase temps
follow up
may need lifelong replacement
✔✔What is hypothyroidism - ✔✔insufficient thyroid hormone
common causes: iodine deficiency, atrophy of the gland, treatment for hyperthyroidism,
drugs
✔✔What are the clinical manifestations of hypothyroidism - ✔✔Hypometabolism
slow changes: fatigue, lethargy, mental changes, cardiac decreased HR, cold
intolerance, dry cold skin, weight gain, thin hair, constipation, edema, depression
✔✔What is myxedema coma - ✔✔due to accumulation of hyrophilic
muscopolysccharides in the dermis and other tissues.
Very cold and slow breathing
administer IV thyroid hormones
✔✔What is primary hypothyroidism - ✔✔Elevated TSH and decreased T3 T4
✔✔What is secondary hypothyroidism - ✔✔Decreased TSH and decreased T3 T4
✔✔How do you care for a patient with hypothyroidism - ✔✔Skin care, vital signs, I/O,
edema, cardiac response to hormone, energy level
✔✔What is Levothyroxine (Synthroid) - ✔✔PO or IV
start with low dose and increase
Raises TSH levels
Lifelong treatment
✔✔What is ambulatory care for hypothyroidism - ✔✔Need lifelong therapy
, take in morning on empty stomach
Do not switch brands
follow up care
Symptoms of hypo or hyper
help constipation
✔✔What is Diabetes Insipidus - ✔✔under secretion of ADH
✔✔What are the causes of diabetes insipidus - ✔✔fluid electrolyte imbalance, lesion on
pituitary, kidney is nonresponsive, excessive water intake
✔✔What are the clinical manifestations of Diabetes insipidus - ✔✔polydipsia, polyuria,
elevated serum osmolality
low specific gravity
✔✔What are the diagnostic studies for diabetes insipidus - ✔✔serum labs
water deprivation test
✔✔How do you treat diabetes insipidus - ✔✔treat central cause
fluid replacement
hormone replacement
I/O
Daily weights
Low Na diet
✔✔What are the drugs given for diabetes insipidus - ✔✔DDAVP - desmopression
acetate nasal spray
Vasopressin
✔✔What is Syndrome of inappropriate ADH - ✔✔SIADH
over secretion of ADH
Hold on to fluids
✔✔What does SIADH lead to - ✔✔Hyponatremia
✔✔What are causes of SIADH - ✔✔often in elderly
lung cancer
head trauma
drugs
✔✔What are the clinical manifestations of SIADH - ✔✔dilutional hyponatremia
Fluid retention
Serum hypoosmolality
Weight gain
