QUESTIONS AND ANSWERS GUIDE- BEST
GRADES GUARANTEED.
1. Delegation to Assistive Personal:- ADLs
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- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding(withoutswallowingprecautions)
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- Positioning
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, - RountineTasks ,/
- Bed making ,/
- Specimen collection ,/
- I&O
- Vital Signs ( for stable clients )
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2. PlanningCare for a ClientWho Has Hypothyroidism:- Monitor for low ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
Bp & bradycardia
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- Monitor for chest pain & peripheral edema ,/ ,/ ,/ ,/ ,/ ,/
- Monitor clients weight ,/ ,/
- reorient the client if confusion occurs ,/ ,/ ,/ ,/ ,/
- provide frequentrestperiodsto avoid fatigue &decreasemyocardial
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oxygen demands
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- Monitor respiratory status ,/ ,/
- encourageclienttocoughandbreathedeeplytopreventpulmonary ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
complications
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- lowcalorie,highfiberdiet,&encouragefluidstopreventconstipationand
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promote weight loss
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- Administercatharticsandstoolsoftenersasneeded.(Avoidfiberlaxatives, ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
interfere with absorption of levothyroxine)
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- Provideextraclothingandblanketsforclientswhohavedecreasedcold
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intolerance
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- caution use of electric blankets ,/ ,/ ,/ ,/
- Encourage verbalization of feelings and fears about body changes ,/ ,/ ,/ ,/ ,/ ,/ ,/ ,/
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, - Reassure client that most physical manifestations are reversible
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- use caution with CNS depressants (barbiturates or sedatives)
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3. Signs of hypothyroidism:- Fatigue/ lethargy
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- irritability
- intolerance to cold ,/ ,/
- constipation
- weight gain ,/
- pallor
- think brittle fingernails
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- depression & apathy ,/ ,/
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, - joint or muscle pain,/ ,/ ,/
- bradycardia, hypotension, dysrhythmias ,/ ,/
- slow thought process & speech
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- hypoventilation&pleuraleffusion ,/ ,/ ,/
- thickening of the skin ,/ ,/ ,/
- hair loss ,/
- thickening of hair on eyebrows ,/ ,/ ,/ ,/
- dry flaky skin
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- decreased acuity of taste ,/ ,/ ,/
- impotence
- abnormal menstrual periods (menorrhagia/ amenorrhea),/ ,/ ,/ ,/
- delayed physical and mental growth in children
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4. Medicationforhypothyroidism:levothyroxin(syntheticthyroidhormonere- ,/ ,/ ,/ ,/ ,/ ,/ ,/
placement)
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5. Risk factors for hypothyroidism:- females 30 to 60 years of age
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- use of lithium & amiodarone medications
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- Inadequate intake of iodine ,/ ,/ ,/
- RadiationTherapy the head and neck ,/ ,/ ,/ ,/ ,/
6. Whatis hypothyroidism:underactive thyroid
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