CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
A client scheduled for a partial thyroidectomy asks the nurse why she
is being given an iodine preparation before surgery. Which is the
nurse's best response? a.
"Iodine will help make the internal surgical
environment sterile." b.
"It is given to stimulate the storage of excess
thyroid hormones." c.
"This will replace the hormones you will lose after
your operation." d.
"It will prevent excessive bleeding during surgery. - ANSWER ->ANS: D
Iodine preparations decrease the size and vascularity of the thyroid
gland, reducing the risk for hemorrhage and the potential for thyroid
storm during surgery. The other answers are not accurate.
On the second postoperative day after a subtotal thyroidectomy,
the client tells the nurse that he feels numbness and tingling around
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
his mouth. Which is the nurse's priority intervention? a. Offer
mouth care. b.
Loosen the dressing.
c.
Assess Chvostek's
sign. d.
Assess the client hourly. - ANSWER ->ANS: C
Numbness and tingling around the mouth or in the fingers and toes are
manifestations of hypocalcemia, which could progress to cause tetany
and seizure activity. The nurse should assess the client further by
testing for Chvostek's sign and Trousseau's sign. Then the nurse should
notify the provider. The other choices do not address the emergency
situation.
A client has been diagnosed with hypothyroidism. Which medication
is the nurse prepared to administer to treat the client's bradycardia?
a.
Atropine
sulfate b.
Levothyroxine sodium (Synthroid)
c.
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
Propranolol
(Inderal) d.
Epinephrine (Adrenalin) - ANSWER ->ANS: B
The treatment for bradycardia from hypothyroidism is to treat the
hypothyroidism using levothyroxine sodium. If the heart rate were so
slow that it became an emergency, then atropine or epinephrine might
be an option for short-term management. Inderal is a beta blocker and
would be contraindicated for a client with bradycardia.
A client has hypothyroidism. Which problem does the nurse address as
a priority for this client? a.
Heat
intolerance b.
Body image problems
c.
Depression and withdrawal
d.
Obesity - ANSWER ->ANS: C
Hypothyroidism causes many problems in psychosocial functioning.
Depression is the most common reason for seeking medical attention.
Memory and attention span may be impaired. The client's family may
have great difficulty accepting and dealing with these changes. The
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
client is often unmotivated to participate in self-care. Lapses in
memory and attention require the nurse to ensure that the client's
environment is safe. Heat intolerance is seen in hyperthyroidism. Body
image problems and weight issues do not take priority over mental
status and safety.
6. The client is receiving methimazole (Tapazole). Which statement by
the client indicates good understanding of teaching regarding this
medication? a.
"If I become pregnant, I need to notify my health care
provider immediately." b.
"Liver problems can occur with this drug so I need to report jaundice."
c.
"I will take my pulse daily, and if it is too fast, I will
call my provider." d.
"This medication may cause dyspnea or vertigo. I will be careful with
activity." - CORRECT
ANSWER>>ANS: A
Methimazole can cause birth defects, and clients should not take it if
they are pregnant. Liver problems can occur with propylthiouracil
(PTU). The client does not need to take his or her pulse daily. Dyspnea
and vertigo are not side effects of methimazole.
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
A client scheduled for a partial thyroidectomy asks the nurse why she
is being given an iodine preparation before surgery. Which is the
nurse's best response? a.
"Iodine will help make the internal surgical
environment sterile." b.
"It is given to stimulate the storage of excess
thyroid hormones." c.
"This will replace the hormones you will lose after
your operation." d.
"It will prevent excessive bleeding during surgery. - ANSWER ->ANS: D
Iodine preparations decrease the size and vascularity of the thyroid
gland, reducing the risk for hemorrhage and the potential for thyroid
storm during surgery. The other answers are not accurate.
On the second postoperative day after a subtotal thyroidectomy,
the client tells the nurse that he feels numbness and tingling around
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
his mouth. Which is the nurse's priority intervention? a. Offer
mouth care. b.
Loosen the dressing.
c.
Assess Chvostek's
sign. d.
Assess the client hourly. - ANSWER ->ANS: C
Numbness and tingling around the mouth or in the fingers and toes are
manifestations of hypocalcemia, which could progress to cause tetany
and seizure activity. The nurse should assess the client further by
testing for Chvostek's sign and Trousseau's sign. Then the nurse should
notify the provider. The other choices do not address the emergency
situation.
A client has been diagnosed with hypothyroidism. Which medication
is the nurse prepared to administer to treat the client's bradycardia?
a.
Atropine
sulfate b.
Levothyroxine sodium (Synthroid)
c.
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
Propranolol
(Inderal) d.
Epinephrine (Adrenalin) - ANSWER ->ANS: B
The treatment for bradycardia from hypothyroidism is to treat the
hypothyroidism using levothyroxine sodium. If the heart rate were so
slow that it became an emergency, then atropine or epinephrine might
be an option for short-term management. Inderal is a beta blocker and
would be contraindicated for a client with bradycardia.
A client has hypothyroidism. Which problem does the nurse address as
a priority for this client? a.
Heat
intolerance b.
Body image problems
c.
Depression and withdrawal
d.
Obesity - ANSWER ->ANS: C
Hypothyroidism causes many problems in psychosocial functioning.
Depression is the most common reason for seeking medical attention.
Memory and attention span may be impaired. The client's family may
have great difficulty accepting and dealing with these changes. The
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
, CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
client is often unmotivated to participate in self-care. Lapses in
memory and attention require the nurse to ensure that the client's
environment is safe. Heat intolerance is seen in hyperthyroidism. Body
image problems and weight issues do not take priority over mental
status and safety.
6. The client is receiving methimazole (Tapazole). Which statement by
the client indicates good understanding of teaching regarding this
medication? a.
"If I become pregnant, I need to notify my health care
provider immediately." b.
"Liver problems can occur with this drug so I need to report jaundice."
c.
"I will take my pulse daily, and if it is too fast, I will
call my provider." d.
"This medication may cause dyspnea or vertigo. I will be careful with
activity." - CORRECT
ANSWER>>ANS: A
Methimazole can cause birth defects, and clients should not take it if
they are pregnant. Liver problems can occur with propylthiouracil
(PTU). The client does not need to take his or her pulse daily. Dyspnea
and vertigo are not side effects of methimazole.
CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
AND PARATHYROID GLANDS ATI EXAM QUESTIONS
WITH COMPLETE SOLUTIONS GUARANTEED PASS
