NSG 333- Exam 2 questions with answers
Hypothyroidism: gland - CORRECT ANSWERS ✔✔thyroid glan
Hypothyroidism: hormones - CORRECT ANSWERS ✔✔High TSH, low T3 and
T4
Hypothyroidism: patho - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔Serum TSH and T4
Total serum T3 and T4
TPO antibodies
, Hypothyroidism: Complications - CORRECT ANSWERS ✔✔-MYXEDEMA
COMA
Hypothyroidism: nursing interventions - CORRECT ANSWERS ✔✔Return to
euthyroid state as quickly and safely as possible
Hormone therapy
Low calorie diet
Hypothyroidism: Pharm - CORRECT ANSWERS ✔✔Levothyroxine is drug of
choice
Life long therapy
6-8 weeks to see stabilization
Hypothyroidism: Pt education - CORRECT ANSWERS ✔✔-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
Hypothyroidism: gland - CORRECT ANSWERS ✔✔thyroid glan
Hypothyroidism: hormones - CORRECT ANSWERS ✔✔High TSH, low T3 and
T4
Hypothyroidism: patho - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔Serum TSH and T4
Total serum T3 and T4
TPO antibodies
, Hypothyroidism: Complications - CORRECT ANSWERS ✔✔-MYXEDEMA
COMA
Hypothyroidism: nursing interventions - CORRECT ANSWERS ✔✔Return to
euthyroid state as quickly and safely as possible
Hormone therapy
Low calorie diet
Hypothyroidism: Pharm - CORRECT ANSWERS ✔✔Levothyroxine is drug of
choice
Life long therapy
6-8 weeks to see stabilization
Hypothyroidism: Pt education - CORRECT ANSWERS ✔✔-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
