Comprehensive Predictor Retake Re 3 3 3
view
1. Delegation to Assistive Personal: - ADLs 3 3 3 3 3
-Bathing
-Grooming
-Dressing
-Tioleting
-Ambulating
-Feeding (without swallowing precautions)
3 3 3
-Positioning
-Rountine Tasks 3
-Bed making
3
-Specimen collection 3
-I&O
-Vital Signs ( for stable clients )
3 3 3 3 3 3
2. Planning Care for a Client Who Has Hypothyroidism: -
3 3 3 3 3 3 3 3
3Monitor for low Bp & bradycardia
3 3 3 3 3
-Monitor for chest pain & peripheral edema
3 3 3 3 3 3
-Monitor clients weight
3 3
-reorient the client if confusion occurs
3 3 3 3 3
-provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands
3 3 3 3 3 3 3 3 3 3 3
-Monitor respiratory status
3 3
-encourage client to cough and breathe deeply to prevent pulmonary complications
3 3 3 3 3 3 3 3 3 3
-low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight loss
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
-Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with absorption of levothy
3 3 3 3 3 3 3 3 3 3 3 3 3 3
roxine)
-Provide extra clothing and blankets for clients who have decreased cold intolerance
3 3 3 3 3 3 3 3 3 3 3
-caution use of electric blankets
3 3 3 3
-Encourage verbalization of feelings and fears about body changes
3 3 3 3 3 3 3 3
-Reassure client that most physical manifestations are reversible
3 3 3 3 3 3 3
-use caution with CNS depressants (barbiturates or sedatives)
3 3 3 3 3 3 3
3. Signs of hypothyroidism: - Fatigue/ lethargy
3 3 3 3 3
-irritability
-intolerance to cold 3 3
13/347
, Comprehensive Predictor Retake Re
3 3 3
view
-constipation
-weight gain
3
23/347
, Comprehensive Predictor Retake Re 3 3 3
view
-pallor
-think brittle fingernails
3 3
-depression & apathy 3 3
-joint or muscle pain
3 3 3
-bradycardia, hypotension, dysrhythmias3 3
-slow thought process & speech
3 3 3 3
-hypoventilation & pleural ettusion 3 3 3
-thickening of the skin 3 3 3
-hair loss
3
-thickening of hair on eyebrows3 3 3 3
-dry flaky skin
3 3
-decreased acuity of taste 3 3 3
-impotence
-abnormal menstrual periods (menorrhagia/ amenorrhea)
3 3 3 3
-delayed physical and mental growth in children
3 3 3 3 3 3
4. Medication for hypothyroidism: levothyroxin (synthetic thyroid hormone replacement)
3 3 3 3 3 3 3
5. Risk factors for hypothyroidism: - females 30 to 60 years of age
3 3 3 3 3 3 3 3 3 3 3
-use of lithium & amiodarone medications
3 3 3 3 3
-Inadequate intake of iodine 3 3 3
-Radiation Therapy the head and neck
3 3 3 3 3
6. What is hypothyroidism: underactive thyroid
3 3 3 3
7. Hyperthyroidism risk factors: - Graves' disease 3 3 3 3 3
-Thyroiditis
-Toxic adenoma
3
-Toxic nodular goiter
3 3
-Exogenous hyperthyroidism 3
8. What is hyperthyroidism?: overactive thyroid
3 3 3 3
9. Signs of hyperthyroidism: - nervousness/ irritability
3 3 3 3 3
-muscle weakness 3
-heat intolerance
3
-weight loss 3
-insomnia
33/347
, Comprehensive Predictor Retake Re 3 3 3
view
-irregular menstrual flow 3 3
-frequent stools and diarrhea 3 3 3
-decreased libido 3
-Tremor, hyperkinesia, hyperreflexia
3 3
-Exophthalmos
-blurry vision or changes
3 3 3
-bloodshot appearance of eyes 3 3 3
-Goiter
-Tachycardia, palpitations, dysthymia 3 3
-Elevated blood pressure 3 3
-dyspnea
10. Nursing care for hyperthyroidism: - minimize clients energy 3 3 3 3 3 3 3
-promote calm environment 3 3
-monitor mental status 3 3
-monitor nutritional status 3 3
-monitor I&O / weight 3 3 3
-provide eye protection (patches, eye lubricant, tape to close eyelids)
3 3 3 3 3 3 3 3 3
-monitor vital signs and hemodynamic parameters
3 3 3 3 3
-reduce room temp 3 3
-provide cool shower/ sponge bath 3 3 3 3
-Report a increased temp of 1*F immediately
3 3 3 3 3 3
-Avoid excessive palpation of the thyroid
3 3 3 3 3
11. Medication for hyperthyroidism: - Methimazole 3 3 3 3
12. Reinforcing Teaching About Ostomy Care: stoma should be moist , shinn 3 3 3 3 3 3 3 3 3 3
y, and pink. The peristomal area should be intact
3 3 3 3 3 3 3 3
-use mild soap and water to cleanse the skin, then dry it gently and completely ( moisturizing soaps interf
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
ere with adherence of the pouch)
3 3 3 3 3
-Apply paste if necessary
3 3 3
-measure and mark the desired size for the skin barrier
3 3 3 3 3 3 3 3 3
-cut the opening 0.15 cm to 0.3 cm ( 1/18 to 1/8) in larger, allowing the stoma to appear through the opening
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
-apply barrier paste to creases
3 3 3 3
43/347
view
1. Delegation to Assistive Personal: - ADLs 3 3 3 3 3
-Bathing
-Grooming
-Dressing
-Tioleting
-Ambulating
-Feeding (without swallowing precautions)
3 3 3
-Positioning
-Rountine Tasks 3
-Bed making
3
-Specimen collection 3
-I&O
-Vital Signs ( for stable clients )
3 3 3 3 3 3
2. Planning Care for a Client Who Has Hypothyroidism: -
3 3 3 3 3 3 3 3
3Monitor for low Bp & bradycardia
3 3 3 3 3
-Monitor for chest pain & peripheral edema
3 3 3 3 3 3
-Monitor clients weight
3 3
-reorient the client if confusion occurs
3 3 3 3 3
-provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands
3 3 3 3 3 3 3 3 3 3 3
-Monitor respiratory status
3 3
-encourage client to cough and breathe deeply to prevent pulmonary complications
3 3 3 3 3 3 3 3 3 3
-low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight loss
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
-Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with absorption of levothy
3 3 3 3 3 3 3 3 3 3 3 3 3 3
roxine)
-Provide extra clothing and blankets for clients who have decreased cold intolerance
3 3 3 3 3 3 3 3 3 3 3
-caution use of electric blankets
3 3 3 3
-Encourage verbalization of feelings and fears about body changes
3 3 3 3 3 3 3 3
-Reassure client that most physical manifestations are reversible
3 3 3 3 3 3 3
-use caution with CNS depressants (barbiturates or sedatives)
3 3 3 3 3 3 3
3. Signs of hypothyroidism: - Fatigue/ lethargy
3 3 3 3 3
-irritability
-intolerance to cold 3 3
13/347
, Comprehensive Predictor Retake Re
3 3 3
view
-constipation
-weight gain
3
23/347
, Comprehensive Predictor Retake Re 3 3 3
view
-pallor
-think brittle fingernails
3 3
-depression & apathy 3 3
-joint or muscle pain
3 3 3
-bradycardia, hypotension, dysrhythmias3 3
-slow thought process & speech
3 3 3 3
-hypoventilation & pleural ettusion 3 3 3
-thickening of the skin 3 3 3
-hair loss
3
-thickening of hair on eyebrows3 3 3 3
-dry flaky skin
3 3
-decreased acuity of taste 3 3 3
-impotence
-abnormal menstrual periods (menorrhagia/ amenorrhea)
3 3 3 3
-delayed physical and mental growth in children
3 3 3 3 3 3
4. Medication for hypothyroidism: levothyroxin (synthetic thyroid hormone replacement)
3 3 3 3 3 3 3
5. Risk factors for hypothyroidism: - females 30 to 60 years of age
3 3 3 3 3 3 3 3 3 3 3
-use of lithium & amiodarone medications
3 3 3 3 3
-Inadequate intake of iodine 3 3 3
-Radiation Therapy the head and neck
3 3 3 3 3
6. What is hypothyroidism: underactive thyroid
3 3 3 3
7. Hyperthyroidism risk factors: - Graves' disease 3 3 3 3 3
-Thyroiditis
-Toxic adenoma
3
-Toxic nodular goiter
3 3
-Exogenous hyperthyroidism 3
8. What is hyperthyroidism?: overactive thyroid
3 3 3 3
9. Signs of hyperthyroidism: - nervousness/ irritability
3 3 3 3 3
-muscle weakness 3
-heat intolerance
3
-weight loss 3
-insomnia
33/347
, Comprehensive Predictor Retake Re 3 3 3
view
-irregular menstrual flow 3 3
-frequent stools and diarrhea 3 3 3
-decreased libido 3
-Tremor, hyperkinesia, hyperreflexia
3 3
-Exophthalmos
-blurry vision or changes
3 3 3
-bloodshot appearance of eyes 3 3 3
-Goiter
-Tachycardia, palpitations, dysthymia 3 3
-Elevated blood pressure 3 3
-dyspnea
10. Nursing care for hyperthyroidism: - minimize clients energy 3 3 3 3 3 3 3
-promote calm environment 3 3
-monitor mental status 3 3
-monitor nutritional status 3 3
-monitor I&O / weight 3 3 3
-provide eye protection (patches, eye lubricant, tape to close eyelids)
3 3 3 3 3 3 3 3 3
-monitor vital signs and hemodynamic parameters
3 3 3 3 3
-reduce room temp 3 3
-provide cool shower/ sponge bath 3 3 3 3
-Report a increased temp of 1*F immediately
3 3 3 3 3 3
-Avoid excessive palpation of the thyroid
3 3 3 3 3
11. Medication for hyperthyroidism: - Methimazole 3 3 3 3
12. Reinforcing Teaching About Ostomy Care: stoma should be moist , shinn 3 3 3 3 3 3 3 3 3 3
y, and pink. The peristomal area should be intact
3 3 3 3 3 3 3 3
-use mild soap and water to cleanse the skin, then dry it gently and completely ( moisturizing soaps interf
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
ere with adherence of the pouch)
3 3 3 3 3
-Apply paste if necessary
3 3 3
-measure and mark the desired size for the skin barrier
3 3 3 3 3 3 3 3 3
-cut the opening 0.15 cm to 0.3 cm ( 1/18 to 1/8) in larger, allowing the stoma to appear through the opening
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
-apply barrier paste to creases
3 3 3 3
43/347
