Nurse 623 Exam 2 Study Guide Questions
With Correct Answers
What |is |Hypothyroidism |- |CORRECT |ANSWER✔✔--inadeqaute |amount |of |thyroid |hormone |
being |produced |or |secreted.
-Most |common |in |women |ages |30-60
"Hashiamotos"
-Look |at |T4 |levels: |normal |100-125 |per |day
What |is |a |goiter |- |CORRECT |ANSWER✔✔-hypertrophy |and |hyperplasia |of |the |thyroid |gland |
caused |by |increasing |levels |of |pituitary |TSH
Subjective |symptoms |of |Hypothtroidism |- |CORRECT |ANSWER✔✔-" |Everythng |sluggish" |
swelling, |nausea |constipation, |menorrhagia, |muscle |weakness, |weight |gain, |fatigue, |lethargy
Objective |Signs |and |SYmptoms |of |hypothyroidism |- |CORRECT |ANSWER✔✔-slowing |of |mental |
process/ |dul |facila |expression/ |hypoactive |bowel |sounds/ |bradykenesia/ |bradycardia/ |cardiac |
enlargement/ |pleurel |effusion/ |decreased |fertility
Hypothyroidism |work |up |- |CORRECT |ANSWER✔✔-Baseline |screening |at |age |35.. |especially |
with |those |pregnant, |>60 |or |autoimmune |disease
TSH, |Free |T4
Antithyroid |antibodies |to |check |for |thyroiditis
Diagnostic |values: |TSH |high/ |T4 |low
TSH>10 |needs |treatment
, If |palpating |nodules |need |US
Hypothyroidism |treatment |- |CORRECT |ANSWER✔✔--Synthroid( |brand |specific |and |prefered |
over |generic) |
-Levothyroxine: |overtreatment |can |cause |osteoporosis
-start |at |50-100 |mcg/day |( |25mcg |for |elderly)
| Increase |by |25 |mcg/day |evry |4-6 |weeks, |max |of |
| 300 |until |TSH |in |normal |reange
Complications |of |treatment |with |Hypothyroidism |- |CORRECT |ANSWER✔✔-if |untreated |
myexedema....
Pt |education |with |Hypothyroidism |- |CORRECT |ANSWER✔✔--Take |med |in |early |am |to |javoid |
insomnia
-do |not |take |at |same |time |as |mineral |supplements
| take |2 |hours |before |ir |4 |hours |after
-Thyroid |supplements |can |increase |glucose
-may |have |decreased |sensitivity |to |sedatives/ |
| analgesics
-low |fat |diet |due |to |risk |of |heart |disease
-high |fiber |diet |to |reduce |constipation
-wear |extra |clothing
-S/s |of |thyrotoxicity |(hyperthyroidism)
Follow |up |with |hypothyroidism |- |CORRECT |ANSWER✔✔--lab |check |every |4-6 |weeks |until |TSH |
normal |
With Correct Answers
What |is |Hypothyroidism |- |CORRECT |ANSWER✔✔--inadeqaute |amount |of |thyroid |hormone |
being |produced |or |secreted.
-Most |common |in |women |ages |30-60
"Hashiamotos"
-Look |at |T4 |levels: |normal |100-125 |per |day
What |is |a |goiter |- |CORRECT |ANSWER✔✔-hypertrophy |and |hyperplasia |of |the |thyroid |gland |
caused |by |increasing |levels |of |pituitary |TSH
Subjective |symptoms |of |Hypothtroidism |- |CORRECT |ANSWER✔✔-" |Everythng |sluggish" |
swelling, |nausea |constipation, |menorrhagia, |muscle |weakness, |weight |gain, |fatigue, |lethargy
Objective |Signs |and |SYmptoms |of |hypothyroidism |- |CORRECT |ANSWER✔✔-slowing |of |mental |
process/ |dul |facila |expression/ |hypoactive |bowel |sounds/ |bradykenesia/ |bradycardia/ |cardiac |
enlargement/ |pleurel |effusion/ |decreased |fertility
Hypothyroidism |work |up |- |CORRECT |ANSWER✔✔-Baseline |screening |at |age |35.. |especially |
with |those |pregnant, |>60 |or |autoimmune |disease
TSH, |Free |T4
Antithyroid |antibodies |to |check |for |thyroiditis
Diagnostic |values: |TSH |high/ |T4 |low
TSH>10 |needs |treatment
, If |palpating |nodules |need |US
Hypothyroidism |treatment |- |CORRECT |ANSWER✔✔--Synthroid( |brand |specific |and |prefered |
over |generic) |
-Levothyroxine: |overtreatment |can |cause |osteoporosis
-start |at |50-100 |mcg/day |( |25mcg |for |elderly)
| Increase |by |25 |mcg/day |evry |4-6 |weeks, |max |of |
| 300 |until |TSH |in |normal |reange
Complications |of |treatment |with |Hypothyroidism |- |CORRECT |ANSWER✔✔-if |untreated |
myexedema....
Pt |education |with |Hypothyroidism |- |CORRECT |ANSWER✔✔--Take |med |in |early |am |to |javoid |
insomnia
-do |not |take |at |same |time |as |mineral |supplements
| take |2 |hours |before |ir |4 |hours |after
-Thyroid |supplements |can |increase |glucose
-may |have |decreased |sensitivity |to |sedatives/ |
| analgesics
-low |fat |diet |due |to |risk |of |heart |disease
-high |fiber |diet |to |reduce |constipation
-wear |extra |clothing
-S/s |of |thyrotoxicity |(hyperthyroidism)
Follow |up |with |hypothyroidism |- |CORRECT |ANSWER✔✔--lab |check |every |4-6 |weeks |until |TSH |
normal |
