HESI RN CASE STUDIES;THYROID
DISORDER EXAMINATION
Eugena's presenting vital signs:Temperature: 96.0° FPulse: 52 beats/min RR: 16
breaths/min Blood pressure: 140/80 mmHg Given the initial history and vital signs,
what other questions should the nurse ask? - ANSWER--"Have you had any
changes in your bowel habits?"
-"Do you still feel sleepy when you wake up in the mornings despite getting a good
night's sleep?"
-"Have you noticed any changes in your hair or nails?"
After the consent form is signed, what assessment data are most important for the
nurse to obtain prior to the radioactive iodine uptake test? - ANSWER--Find out if
the client has ever had a reaction to a bee sting.
-Ask if the client has been taking any OTC medications such as cough syrups?
-Investigate the client's use of over the counter (OTC) multivitamin and herbal
products.
Based on Eugena's history and presenting symptoms, which additional diagnostic
tests does the nurse anticipate the HCP to order? - ANSWER--CBC with
differential.
-Blood Chemistries.
-TSH and free T4.
, Based on the results of all the diagnostic test, Eugena is diagnosed with
hypothyroidism. Which other lab should be monitored after the diagnosis of
hypothyroidism is confirmed? - ANSWER-Triglycerides and cholesterol.
Which explanation by the nurse is accurate? - ANSWER-An autoimmune
dysfunction causes thyroid dysfunction.
Which symptoms are the client with hypothyroidism most likely to exhibit? -
ANSWER--Coarse dry skin.
-Somnolence and cold intolerance.
-Somnolence and fatigue.
What is Eugene's daily dose of medication? (Enter numerical value only. If
rounding is necessary, round to the hundredth.) - ANSWER-116
Which approach by the nurse describes the action of the levothyroxine (Synthroid)
to Eugena? - ANSWER-Increases fat, protein, carbohydrate metabolism.
Which information in Eugena's history would be of concern to the nurse related to
the use of Synthroid? - ANSWER--Eugena has an allergy to aspirin.
-Eugena enjoys strawberries, peaches and pears.
-Eugena takes a daily calcium supplement.
-Eugena prefers to take her medications with tea or lemonade.
Eugena tells the nurse she has a hard time taking medications regularly. She asks
how long she will need to take the Synthroid. What is the nurse's best response? -
ANSWER-You will need to take this medication for the remainder of your life.
DISORDER EXAMINATION
Eugena's presenting vital signs:Temperature: 96.0° FPulse: 52 beats/min RR: 16
breaths/min Blood pressure: 140/80 mmHg Given the initial history and vital signs,
what other questions should the nurse ask? - ANSWER--"Have you had any
changes in your bowel habits?"
-"Do you still feel sleepy when you wake up in the mornings despite getting a good
night's sleep?"
-"Have you noticed any changes in your hair or nails?"
After the consent form is signed, what assessment data are most important for the
nurse to obtain prior to the radioactive iodine uptake test? - ANSWER--Find out if
the client has ever had a reaction to a bee sting.
-Ask if the client has been taking any OTC medications such as cough syrups?
-Investigate the client's use of over the counter (OTC) multivitamin and herbal
products.
Based on Eugena's history and presenting symptoms, which additional diagnostic
tests does the nurse anticipate the HCP to order? - ANSWER--CBC with
differential.
-Blood Chemistries.
-TSH and free T4.
, Based on the results of all the diagnostic test, Eugena is diagnosed with
hypothyroidism. Which other lab should be monitored after the diagnosis of
hypothyroidism is confirmed? - ANSWER-Triglycerides and cholesterol.
Which explanation by the nurse is accurate? - ANSWER-An autoimmune
dysfunction causes thyroid dysfunction.
Which symptoms are the client with hypothyroidism most likely to exhibit? -
ANSWER--Coarse dry skin.
-Somnolence and cold intolerance.
-Somnolence and fatigue.
What is Eugene's daily dose of medication? (Enter numerical value only. If
rounding is necessary, round to the hundredth.) - ANSWER-116
Which approach by the nurse describes the action of the levothyroxine (Synthroid)
to Eugena? - ANSWER-Increases fat, protein, carbohydrate metabolism.
Which information in Eugena's history would be of concern to the nurse related to
the use of Synthroid? - ANSWER--Eugena has an allergy to aspirin.
-Eugena enjoys strawberries, peaches and pears.
-Eugena takes a daily calcium supplement.
-Eugena prefers to take her medications with tea or lemonade.
Eugena tells the nurse she has a hard time taking medications regularly. She asks
how long she will need to take the Synthroid. What is the nurse's best response? -
ANSWER-You will need to take this medication for the remainder of your life.
