PNH 301 – Week 9 Thyroid Sherpath Study Guide
d. Overproduction of thyroid hormones - correct answer ✔✔ In Canada, what is the most likely
cause for a goiter?
a. Lack of iodine
b. Lack of calcium
c. Abundance of iodine
d. Overproduction of thyroid hormones
c. Monitoring the patient's serum levels and assessing for signs of hypocalcemia - correct
answer ✔✔ Which assessment is a priority for the nursewhen providing postoperative care to a
patient who has had their parathyroid gland removed during a thyroidectomy?
a. Assessing the patient's white blood cell levels and assessing for infection
b. Monitoring the patient's hemoglobin, hematocrit, and red blood cell levels
c. Monitoring the patient's serum levels and assessing for signs of hypocalcemia
d. Monitoring the patient's level of consciousness and assessing for acute delirium or agitation
c. "I will need to take antithyroid medications for 3 months after I begin RAl therapy." - correct
answer ✔✔ The nurse determines that a patient who is receiving radioactive iodine (RAI)
therapy for the treatment of hyperthyroidism needs additional instructions when they make
which statement?
a. "I will need to flush the toilet twice after I use it."
b. "I should launder my laundry separately from those in my household.
c. "I will need to take antithyroid medications for 3 months after I begin RAl therapy."
d. "If I develop a dry mouth, I may gargle with a salt and soda mixture for relief."
, c. Lethargy and weakness - correct answer ✔✔ Which manifestation would the nurse assess for
in a patient admitted with suspected hyperparathyroidism who is at risk for an electrolyte
imbalance?
a. Neurologic irritability
b. Declining urine output
c. Lethargy and weakness
d. Hyperactive bowel sounds
c. "it may take several weeks to see the full benefits of the treatment.! - correct answer ✔✔
Which response is best to the patient who tells the nurse, "I don't think the medication is
working, I don't feel any different" after receiving radioactive iodine (RAI) for hyperthyroidism 1
week ago?
a. "You should notify your primary health care provider immediately."
b. "You may need to have your thyroid removed sooner than anticipated."
c. "it may take several weeks to see the full benefits of the treatment.!
d. "You don't feel any different? Would you like to sit down and talk about it?"
c. Obtain a blood pressure measurement. - correct answer ✔✔ Which initial action would the
nurse take before administering levothyroxine to a patient newly diagnosed with
hypothyroidism who has a resting heart rate of 110 beats per minute (bpm)?
a. Administer the medication.
b. Notify the health care provider.
c. Obtain a blood pressure measurement.
d. Administer all other scheduled medications except levothyroxine.
d. The patient will demonstrate maintenance of their weight. - correct answer ✔✔ Which
expected outcome would the nurse anticipate for a patient with
Graves' disease?
a. The patient will be free of infection.
d. Overproduction of thyroid hormones - correct answer ✔✔ In Canada, what is the most likely
cause for a goiter?
a. Lack of iodine
b. Lack of calcium
c. Abundance of iodine
d. Overproduction of thyroid hormones
c. Monitoring the patient's serum levels and assessing for signs of hypocalcemia - correct
answer ✔✔ Which assessment is a priority for the nursewhen providing postoperative care to a
patient who has had their parathyroid gland removed during a thyroidectomy?
a. Assessing the patient's white blood cell levels and assessing for infection
b. Monitoring the patient's hemoglobin, hematocrit, and red blood cell levels
c. Monitoring the patient's serum levels and assessing for signs of hypocalcemia
d. Monitoring the patient's level of consciousness and assessing for acute delirium or agitation
c. "I will need to take antithyroid medications for 3 months after I begin RAl therapy." - correct
answer ✔✔ The nurse determines that a patient who is receiving radioactive iodine (RAI)
therapy for the treatment of hyperthyroidism needs additional instructions when they make
which statement?
a. "I will need to flush the toilet twice after I use it."
b. "I should launder my laundry separately from those in my household.
c. "I will need to take antithyroid medications for 3 months after I begin RAl therapy."
d. "If I develop a dry mouth, I may gargle with a salt and soda mixture for relief."
, c. Lethargy and weakness - correct answer ✔✔ Which manifestation would the nurse assess for
in a patient admitted with suspected hyperparathyroidism who is at risk for an electrolyte
imbalance?
a. Neurologic irritability
b. Declining urine output
c. Lethargy and weakness
d. Hyperactive bowel sounds
c. "it may take several weeks to see the full benefits of the treatment.! - correct answer ✔✔
Which response is best to the patient who tells the nurse, "I don't think the medication is
working, I don't feel any different" after receiving radioactive iodine (RAI) for hyperthyroidism 1
week ago?
a. "You should notify your primary health care provider immediately."
b. "You may need to have your thyroid removed sooner than anticipated."
c. "it may take several weeks to see the full benefits of the treatment.!
d. "You don't feel any different? Would you like to sit down and talk about it?"
c. Obtain a blood pressure measurement. - correct answer ✔✔ Which initial action would the
nurse take before administering levothyroxine to a patient newly diagnosed with
hypothyroidism who has a resting heart rate of 110 beats per minute (bpm)?
a. Administer the medication.
b. Notify the health care provider.
c. Obtain a blood pressure measurement.
d. Administer all other scheduled medications except levothyroxine.
d. The patient will demonstrate maintenance of their weight. - correct answer ✔✔ Which
expected outcome would the nurse anticipate for a patient with
Graves' disease?
a. The patient will be free of infection.
