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Exam (elaborations)

NSG 210 EXAM QUESTIONS AND REVISED ANSWERS ALL CORRECT

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NSG 210 EXAM QUESTIONS AND REVISED ANSWERS ALL CORRECT What are some concerns with a thyroidectomy? - Answer---Partial can cause thyroid storm (anything manipulating thyroid can including trauma) --Can cause low Ca+ What is hyperthyroidism? - Answer-Excessive production of thyroid hormones (T3 & T4) Speeds everything up & raises temperature What are the causes of hyperthyroidism? - Answer-● Too much iodine ● Grave's Disease (autoimmune condition where body produces TSI - Thyroid Stimulating Immunoglobulin. which acts like TSH) ● Tone Nodular Goiter (nodular growths produce excessive thyroid hormones) ● Excessive thyroid hormones Thyroid replacement medications What is a life threatening complication of hyperthyroidism? - Answer-Thyroid Storm What are some s/s of hyperthyroidism? - Answer-● Weight loss ● Heat intolerance ● Goiter (common in Grave's) ● Restless/Irritable ● Fast heart rate ● Diarrhea ● Unable to focus mentally ● Oily skin ● Nervousness --Menstrual problems --Exophthalmos --Jaundice What are the medical treatments for hyperthyroidism? - Answer-● Antithyroid meds: ----methimazole (Tapazole) ----PTU (Propylthiouracil) ----Iodine solution (Lugol's solution) ● Beta blockers ----propranolol (Inderal) (helps with the signs and symptoms) ● Radioactive iodine therapy ● Thyroidectomy Avoid stalactites and food supplements with iodine (increased thyroid hormone) What is hypothyroidism? - Answer-Low production of thyroid hormones Slows everything down & lowers temperature What are some causes of hypothyroidism? - Answer-● Not enough iodine ● Hashimoto's Disease (autoimmune - body attacks thyroid gland) ● Antithyroid medication toxicity Pituitary tumor (stops anterior pituitary gland from releasing TSH which causes T3 & T4 to be released)

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NSG 210
Course
NSG 210

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NSG 210 EXAM QUESTIONS AND
REVISED ANSWERS ALL
CORRECT
What are some concerns with a thyroidectomy? - Answer---Partial can cause thyroid
storm (anything manipulating thyroid can including trauma)
--Can cause low Ca+

What is hyperthyroidism? - Answer-Excessive production of thyroid hormones (T3 & T4)
Speeds everything up & raises temperature

What are the causes of hyperthyroidism? - Answer-● Too much iodine
● Grave's Disease (autoimmune condition where body produces TSI - Thyroid
Stimulating Immunoglobulin. which acts like TSH)
● Tone Nodular Goiter (nodular growths produce excessive thyroid hormones)
● Excessive thyroid hormones
Thyroid replacement medications

What is a life threatening complication of hyperthyroidism? - Answer-Thyroid Storm

What are some s/s of hyperthyroidism? - Answer-● Weight loss
● Heat intolerance
● Goiter (common in Grave's)
● Restless/Irritable
● Fast heart rate
● Diarrhea
● Unable to focus mentally
● Oily skin
● Nervousness
--Menstrual problems
--Exophthalmos
--Jaundice

What are the medical treatments for hyperthyroidism? - Answer-● Antithyroid meds:
----methimazole (Tapazole)
----PTU (Propylthiouracil)
----Iodine solution (Lugol's solution)
● Beta blockers
----propranolol (Inderal) (helps with the signs and symptoms)
● Radioactive iodine therapy
● Thyroidectomy

, Avoid stalactites and food supplements with iodine (increased thyroid hormone)

What is hypothyroidism? - Answer-Low production of thyroid hormones
Slows everything down & lowers temperature

What are some causes of hypothyroidism? - Answer-● Not enough iodine
● Hashimoto's Disease (autoimmune - body attacks thyroid gland)
● Antithyroid medication toxicity
Pituitary tumor (stops anterior pituitary gland from releasing TSH which causes T3 & T4
to be released)

What is a life threatening condition of hypothyroidism? - Answer-● Myxedema coma

What are some s/s of hypothyroidism? - Answer-● Weight gain
● Cold intolerance
● Possible goiter (Hashimoto's)
● Extremely tired and fatigued
● Slow HR
● Constipation
● Memory loss
● Myxedema swelling (eyes, face, waxy appearance)
● Dry skin
● Depression
● Menstrual problems
---Low Ca+
---Lowered immunity

What are some treatments for hypothyroidism? - Answer-Treatments:
● Thyroid hormone replacement:
----levothyroxine (Synthroid)
****Avoid sedatives/narcotics: very sensitive to them and increased risk of Myxedema
Coma

What are some foods rich in Vitamin K? - Answer-● Broccoli, Cauliflower, Spinach,
Kale, Brussel Sprouts, Cabbage, Liver

What is Virchow's Triad, what does it evaluate, and what are the components of the
triad? - Answer-Assesses a patient's risk of developing a DVT
SHE
---Stasis of blood
---Hypercoagulable state
---Endothelial damage


INR Times - Answer-▪ 0.9-1.2 (normal)
▪ 2.0-3.0 (if on anticoagulation meds)

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Course
NSG 210

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