Comprehensive
Predictor Retake
Review
,Comprehensive Predictor Retake Review
Delegation to Assistive Personal - correct answer - ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (without swallowing precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
Planning Care for a Client Who Has Hypothyroidism - correct answer - Monitor for low Bp &
bradycardia
- Monitor for chest pain & peripheral edema
- Monitor clients weight
- reorient the client if confusion occurs
- provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands
- Monitor respiratory status
- encourage client to cough and breathe deeply to prevent pulmonary complications
- low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight
loss
- Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with
absorption of levothyroxine)
- Provide extra clothing and blankets for clients who have decreased cold intolerance
- caution use of electric blankets
- Encourage verbalization of feelings and fears about body changes
,Comprehensive Predictor Retake Review
- Reassure client that most physical manifestations are reversible
- use caution with CNS depressants (barbiturates or sedatives)
Signs of hypothyroidism - correct answer - Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
- joint or muscle pain
- bradycardia, hypotension, dysrhythmias
- slow thought process & speech
- hypoventilation & pleural effusion
- thickening of the skin
- hair loss
- thickening of hair on eyebrows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods (menorrhagia/ amenorrhea)
- delayed physical and mental growth in children
Medication for hypothyroidism - correct answer levothyroxin (synthetic thyroid hormone
replacement)
Risk factors for hypothyroidism - correct answer - females 30 to 60 years of age
- use of lithium & amiodarone medications
- Inadequate intake of iodine
, Comprehensive Predictor Retake Review
- Radiation Therapy the head and neck
What is hypothyroidism - correct answer underactive thyroid
Hyperthyroidism risk factors - correct answer - Graves' disease
- Thyroiditis
- Toxic adenoma
- Toxic nodular goiter
- Exogenous hyperthyroidism
What is hyperthyroidism? - correct answer overactive thyroid
Signs of hyperthyroidism - correct answer - nervousness/ irritability
- muscle weakness
- heat intolerance
- weight loss
- insomnia
- irregular menstrual flow
- frequent stools and diarrhea
- decreased libido
- Tremor, hyperkinesia, hyperreflexia
- Exophthalmos
- blurry vision or changes
- bloodshot appearance of eyes
- Goiter
- Tachycardia, palpitations, dysthymia
- Elevated blood pressure
- dyspnea
Nursing care for hyperthyroidism - correct answer - minimize clients energy
- promote calm environment
- monitor mental status
Predictor Retake
Review
,Comprehensive Predictor Retake Review
Delegation to Assistive Personal - correct answer - ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (without swallowing precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
Planning Care for a Client Who Has Hypothyroidism - correct answer - Monitor for low Bp &
bradycardia
- Monitor for chest pain & peripheral edema
- Monitor clients weight
- reorient the client if confusion occurs
- provide frequent rest periods to avoid fatigue & decrease myocardial oxygen demands
- Monitor respiratory status
- encourage client to cough and breathe deeply to prevent pulmonary complications
- low calorie, high fiber diet , & encourage fluids to prevent constipation and promote weight
loss
- Administer cathartics and stool softeners as needed. (Avoid fiber laxatives, interfere with
absorption of levothyroxine)
- Provide extra clothing and blankets for clients who have decreased cold intolerance
- caution use of electric blankets
- Encourage verbalization of feelings and fears about body changes
,Comprehensive Predictor Retake Review
- Reassure client that most physical manifestations are reversible
- use caution with CNS depressants (barbiturates or sedatives)
Signs of hypothyroidism - correct answer - Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
- joint or muscle pain
- bradycardia, hypotension, dysrhythmias
- slow thought process & speech
- hypoventilation & pleural effusion
- thickening of the skin
- hair loss
- thickening of hair on eyebrows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods (menorrhagia/ amenorrhea)
- delayed physical and mental growth in children
Medication for hypothyroidism - correct answer levothyroxin (synthetic thyroid hormone
replacement)
Risk factors for hypothyroidism - correct answer - females 30 to 60 years of age
- use of lithium & amiodarone medications
- Inadequate intake of iodine
, Comprehensive Predictor Retake Review
- Radiation Therapy the head and neck
What is hypothyroidism - correct answer underactive thyroid
Hyperthyroidism risk factors - correct answer - Graves' disease
- Thyroiditis
- Toxic adenoma
- Toxic nodular goiter
- Exogenous hyperthyroidism
What is hyperthyroidism? - correct answer overactive thyroid
Signs of hyperthyroidism - correct answer - nervousness/ irritability
- muscle weakness
- heat intolerance
- weight loss
- insomnia
- irregular menstrual flow
- frequent stools and diarrhea
- decreased libido
- Tremor, hyperkinesia, hyperreflexia
- Exophthalmos
- blurry vision or changes
- bloodshot appearance of eyes
- Goiter
- Tachycardia, palpitations, dysthymia
- Elevated blood pressure
- dyspnea
Nursing care for hyperthyroidism - correct answer - minimize clients energy
- promote calm environment
- monitor mental status
