©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
Nurs 1220 wk 5: thyroid and diabetes Exam
Questions With Correct Answers
Thyroid hormone secretion is controlled by a _______________ mechanism - answer✔negative
feedback
the major role of the thyroid gland is to? - answer✔regulate metabolism
radioactive iodine is given via what route - answer✔by mouth (PO)
what two substances does the body need to produce thyroid hormone? - answer✔iodine &
tyrosine
hypothyroidism assessment findings - answer✔low metabolic rate
weight gain despite decreased appetite
excessive fatigue
constipated d/t slow GI
poor wound healing
cold intolerance
decreased v/s
decreased CO
slow movements
takes longer to respond
mental slowness
impaired memory
decreased energy
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hypothyroidism? - answer✔T3 & T4 decreased
TSH increased
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hyperthyroidism? - answer✔T3 & T4 increased
TSH decreased
the most common reason a person with hypothyroidism seeks medical treatment is ? -
answer✔depression
in hypothyroidism, tissues and organs are affected by the low metabolic rate... this causes a
buildup of water and mucous causing cellular edema that is mucinous.
this is called? - answer✔myxedema
autoimmune destruction of thyroid ells starting several weeks after a bacterial or viral infection;
damages thyroid glad and causes hypothyroidism - answer✔hashimotos disease
drug therapy for hypothyroidism - answer✔lifelong thyroid hormone replacement therapy
- levothyroxine
patient education about taking levothyroxine hormone replacement - answer✔take as prescribed
lifelong
take with full glass water
take in morning 1-2 hours before eating
low doses gradually increased
- empty stomach
if crushed, must be crushed in small amt water 5-10mL
- take immediately after crushing and mixing
- place tube feeds on hold 1-2 hours before admin
- avoid celery seed
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
highest priority assessment for a patient recently started on thyroid replacement therapy -
answer✔check for tremors & determine presence or absence of chest pain
if a patient is taking hormone replacement therapy and is having difficulty sleeping the dosage
may need to be changed
1) if patient cannot fall asleep and has more BM than usual-->
2) if patient is sleeping too much and is having difficulty with BM--> - answer✔1) decrease dose
2) increase dose
what does a goiter mean? - answer✔enlarged thyroid gland due to a thyroid disorder, but does
not differentiate between hypo and hyper thyroidism
the most common cause of death among patients with myxedema is: - answer✔respiratory failure
interventions for hypothyroidism - answer✔-apply o2 if pt hypoxic
- listen for decreased lung sounds
- avoid sedatives like opioids and anesthesia
- observe for indications of shock
what does the nurse monitor for when a patient start taking thyroid hormone replacement
therapy? - answer✔pain and dyspnea
indications of shock in a patient with hypothyroidism - answer✔hypotension
decreased urine output
change in mental status
problems with lab values that can occur from myxedema secondary to hypothyroidism -
answer✔hyponatremia
hypoglycemia
hypothermia
10/10/2024 11:44 AM
Nurs 1220 wk 5: thyroid and diabetes Exam
Questions With Correct Answers
Thyroid hormone secretion is controlled by a _______________ mechanism - answer✔negative
feedback
the major role of the thyroid gland is to? - answer✔regulate metabolism
radioactive iodine is given via what route - answer✔by mouth (PO)
what two substances does the body need to produce thyroid hormone? - answer✔iodine &
tyrosine
hypothyroidism assessment findings - answer✔low metabolic rate
weight gain despite decreased appetite
excessive fatigue
constipated d/t slow GI
poor wound healing
cold intolerance
decreased v/s
decreased CO
slow movements
takes longer to respond
mental slowness
impaired memory
decreased energy
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hypothyroidism? - answer✔T3 & T4 decreased
TSH increased
how are the thyroid hormones and thyroid stimulating hormones affected in a patient with
hyperthyroidism? - answer✔T3 & T4 increased
TSH decreased
the most common reason a person with hypothyroidism seeks medical treatment is ? -
answer✔depression
in hypothyroidism, tissues and organs are affected by the low metabolic rate... this causes a
buildup of water and mucous causing cellular edema that is mucinous.
this is called? - answer✔myxedema
autoimmune destruction of thyroid ells starting several weeks after a bacterial or viral infection;
damages thyroid glad and causes hypothyroidism - answer✔hashimotos disease
drug therapy for hypothyroidism - answer✔lifelong thyroid hormone replacement therapy
- levothyroxine
patient education about taking levothyroxine hormone replacement - answer✔take as prescribed
lifelong
take with full glass water
take in morning 1-2 hours before eating
low doses gradually increased
- empty stomach
if crushed, must be crushed in small amt water 5-10mL
- take immediately after crushing and mixing
- place tube feeds on hold 1-2 hours before admin
- avoid celery seed
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
highest priority assessment for a patient recently started on thyroid replacement therapy -
answer✔check for tremors & determine presence or absence of chest pain
if a patient is taking hormone replacement therapy and is having difficulty sleeping the dosage
may need to be changed
1) if patient cannot fall asleep and has more BM than usual-->
2) if patient is sleeping too much and is having difficulty with BM--> - answer✔1) decrease dose
2) increase dose
what does a goiter mean? - answer✔enlarged thyroid gland due to a thyroid disorder, but does
not differentiate between hypo and hyper thyroidism
the most common cause of death among patients with myxedema is: - answer✔respiratory failure
interventions for hypothyroidism - answer✔-apply o2 if pt hypoxic
- listen for decreased lung sounds
- avoid sedatives like opioids and anesthesia
- observe for indications of shock
what does the nurse monitor for when a patient start taking thyroid hormone replacement
therapy? - answer✔pain and dyspnea
indications of shock in a patient with hypothyroidism - answer✔hypotension
decreased urine output
change in mental status
problems with lab values that can occur from myxedema secondary to hypothyroidism -
answer✔hyponatremia
hypoglycemia
hypothermia
