MedSurg II Endocrine Exam 4 Review- Az college of
nursing- Graded A+
Hormone secretion does what when circulating levels drop? - -increase
Elevation of T3 T4 levels being released means - -TSH levels drop
How would you palpate and assess a tumor on the thyroid? - -ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage and
have the patient swallow.
What is the best indication to determine if someone has hypothyroidism - -TSH level
(high)
What would be the difference between thyroid storm and hyperthyroidism - -thyroid
storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN LOC.
What clinical manifestations would we see with hyperthyroidism? - -tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety, insomnia,
increased appetite
Not all hormones need to be imbalanced to - -diagnose
Anytime we have a subtotal or total thyroidectomy pts are at risk for - -
hypoparathyroidism and hypothyroidism
Postop complications for total or subtotal thyroidectomies - -airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia
(hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic
For hypoparathyroidism we wanna check what type of calcium level - -ionized
calcium level
A1C levels should be less than what for diabetics? - -7
In A1C lower levels are always - -better
Grave's disease is asscoiated with - -hyperthyroidism
, MedSurg II Endocrine Exam 4 Review- Az college of
nursing- Graded A+
What is hashimotos associated with - -hypothyroidism
Pt education for transsphenoidal hypophysectomy - -keep low ICP
Interventions to lower ICP - -elevate head of bed, no lifting heavy objects, do not use
IS, no straws, monitor CSF leakage (monitor with halo test), no blowing nose or coughing
sneezing.
If we suspect CSF leakage what is our first priority? - -notify the surgeon
Main cause of hyperpituitarism is - -tumors
What is our go to intervention for hyperpituitarism - -surgery to remove tumor or even
part of the gland
Hypothyroidism discharge teaching - -PT and pharmacy is recommended as a care
plan (lifelong medication, and weakness and muscle aches for PT).
Pt education for hypothyroidism - -take meds in the am with no food, report weight
loss, report chest pain
For severe hypothyroidism our priority will be - -get VS
Hyperparathyroidism priority nursing assessments - -cardiac monitoring (shortened
QT), bowel function (diarrhea is common), pain management, and calcium levels, NOT
I&Os
Hyperthyroidism will cause in increase in - -corticosteroid elevation therefore
increased glucose and higher risk for seizures
Which risk would we address first between seizures and hyperglycemia? - -seizures
What is worse acutely in Diabetes? - -hypoglycemia
Normal blood sugar is - -65-99
nursing- Graded A+
Hormone secretion does what when circulating levels drop? - -increase
Elevation of T3 T4 levels being released means - -TSH levels drop
How would you palpate and assess a tumor on the thyroid? - -ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage and
have the patient swallow.
What is the best indication to determine if someone has hypothyroidism - -TSH level
(high)
What would be the difference between thyroid storm and hyperthyroidism - -thyroid
storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN LOC.
What clinical manifestations would we see with hyperthyroidism? - -tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety, insomnia,
increased appetite
Not all hormones need to be imbalanced to - -diagnose
Anytime we have a subtotal or total thyroidectomy pts are at risk for - -
hypoparathyroidism and hypothyroidism
Postop complications for total or subtotal thyroidectomies - -airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia
(hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic
For hypoparathyroidism we wanna check what type of calcium level - -ionized
calcium level
A1C levels should be less than what for diabetics? - -7
In A1C lower levels are always - -better
Grave's disease is asscoiated with - -hyperthyroidism
, MedSurg II Endocrine Exam 4 Review- Az college of
nursing- Graded A+
What is hashimotos associated with - -hypothyroidism
Pt education for transsphenoidal hypophysectomy - -keep low ICP
Interventions to lower ICP - -elevate head of bed, no lifting heavy objects, do not use
IS, no straws, monitor CSF leakage (monitor with halo test), no blowing nose or coughing
sneezing.
If we suspect CSF leakage what is our first priority? - -notify the surgeon
Main cause of hyperpituitarism is - -tumors
What is our go to intervention for hyperpituitarism - -surgery to remove tumor or even
part of the gland
Hypothyroidism discharge teaching - -PT and pharmacy is recommended as a care
plan (lifelong medication, and weakness and muscle aches for PT).
Pt education for hypothyroidism - -take meds in the am with no food, report weight
loss, report chest pain
For severe hypothyroidism our priority will be - -get VS
Hyperparathyroidism priority nursing assessments - -cardiac monitoring (shortened
QT), bowel function (diarrhea is common), pain management, and calcium levels, NOT
I&Os
Hyperthyroidism will cause in increase in - -corticosteroid elevation therefore
increased glucose and higher risk for seizures
Which risk would we address first between seizures and hyperglycemia? - -seizures
What is worse acutely in Diabetes? - -hypoglycemia
Normal blood sugar is - -65-99
