ATI CARE OF PATIENTS WITH PROBLEMS OF
THE THYROID & PARATHYROID GLANDS EXAM
| (WITH EXPLANATIONS) NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A client recently admitted with hyperparathyroidism has a very high
urine output. Of these actions, what does the nurse do next?
a) Calls the health care provider
b) Monitors intake and output
c) Performs an immediate cardiac assessment
d) Slows the rate of IV fluids - ✔✔✔ Correct Answer > Correct
Answer: b
Diuretic and hydration therapies are used most often for reducing
serum calcium levels in clients with hyperparathyroidism. Usually, a
diuretic that increases kidney excretion of calcium is used together with
IV saline in large volumes to promote renal calcium excretion. The
health care provider does not need to be notified in this situation, given
the information available in the question. Cardiac assessment is part of
the nurse's routine evaluation of the client. Slowing the rate of IV fluids
,is contraindicated because the client will become dehydrated due to
the use of diuretics to increase kidney excretion of calcium.
The nurse manager for the medical-surgical unit is making staff
assignments. Which client will be most appropriate to assign to a newly
graduated RN who has completed a 6-week unit orientation?
a) Client with chronic hypothyroidism and dementia who takes
levothyroxine (Synthroid) daily
b) Client with follicular thyroid cancer who has vocal hoarseness and
difficulty swallowing
c) Client with Graves' disease who is experiencing increasing anxiety
and diaphoresis
d) Client with hyperparathyroidism who has just arrived on the unit
after a parathyroidectomy - ✔✔✔ Correct Answer > Correct Answer:
b
The client with chronic hypothyroidism and dementia is the most stable
of the clients described and would be most appropriate to assign to an
inexperienced RN. A client with vocal hoarseness and difficulty
swallowing is at higher risk for complications and requires close
observation by a more experienced nurse. Increasing anxiety and
diaphoresis in a client with Graves' disease can be an indication of
impending thyroid storm, which is an emergency; this is not a situation
to be managed by a newly graduated RN. A client who has just arrived
on the unit after a parathyroidectomy requires close observation for
,bleeding and airway compromise and requires assessment by an
experienced nurse.
The nurse is teaching a client about thyroid replacement therapy.
Which statement by the client indicates a need for further teaching?
a) "I should have more energy with this medication."
b) "I should take it every morning."
c) "If I continue to lose weight, I may need an increased dose."
d) "If I gain weight and feel tired, I may need an increased dose." -
✔✔✔ Correct Answer > Correct Answer: c
Weight loss indicates a need for a decreased dose, not an increased
dose. One of the symptoms of hypothyroidism is lack of energy; thyroid
replacement therapy should help the client have more energy. The
correct time to take thyroid replacement therapy is in the morning. If
the client is gaining weight and continues to feel tired, that is an
indication that the dose may need to be increased.
An RN and LPN/LVN are caring for a group of clients on the medical-
surgical unit. Which client will be the best to assign to the LPN/LVN?
a) Client with Graves' disease who needs discharge teaching after a
total thyroidectomy
, b) Client with hyperparathyroidism who is just being admitted for a
parathyroidectomy
c) Client with infiltrative ophthalmopathy who needs administration of
high-dose prednisone (Deltasone)
d) Newly diagnosed client with hypothyroidism who needs education
about the use of thyroid supplements - ✔✔✔ Correct Answer >
Correct Answer: c
Medication administration for the client with infiltrative
ophthalmopathy is within the scope of practice of the LPN/LVN.
Discharge teaching is a complex task that cannot be delegated to the
LPN/LVN. A client being admitted for a parathyroidectomy needs
preoperative teaching, which must be provided by the RN. A client who
has a new diagnosis will have questions about the disease and
prescribed medications; teaching is a complex task that is appropriate
for the RN.
An older client with an elevated serum calcium level is receiving IV
furosemide (Lasix) and an infusion of normal saline at 150 mL/hr. Which
nursing action can the RN delegate to unlicensed assistive personnel
(UAP)?
a) Ask the client about any numbness or tingling.
b) Check for bone deformities in the client's back.
c) Measure the client's intake and output hourly.
THE THYROID & PARATHYROID GLANDS EXAM
| (WITH EXPLANATIONS) NEWEST ACTUAL
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A client recently admitted with hyperparathyroidism has a very high
urine output. Of these actions, what does the nurse do next?
a) Calls the health care provider
b) Monitors intake and output
c) Performs an immediate cardiac assessment
d) Slows the rate of IV fluids - ✔✔✔ Correct Answer > Correct
Answer: b
Diuretic and hydration therapies are used most often for reducing
serum calcium levels in clients with hyperparathyroidism. Usually, a
diuretic that increases kidney excretion of calcium is used together with
IV saline in large volumes to promote renal calcium excretion. The
health care provider does not need to be notified in this situation, given
the information available in the question. Cardiac assessment is part of
the nurse's routine evaluation of the client. Slowing the rate of IV fluids
,is contraindicated because the client will become dehydrated due to
the use of diuretics to increase kidney excretion of calcium.
The nurse manager for the medical-surgical unit is making staff
assignments. Which client will be most appropriate to assign to a newly
graduated RN who has completed a 6-week unit orientation?
a) Client with chronic hypothyroidism and dementia who takes
levothyroxine (Synthroid) daily
b) Client with follicular thyroid cancer who has vocal hoarseness and
difficulty swallowing
c) Client with Graves' disease who is experiencing increasing anxiety
and diaphoresis
d) Client with hyperparathyroidism who has just arrived on the unit
after a parathyroidectomy - ✔✔✔ Correct Answer > Correct Answer:
b
The client with chronic hypothyroidism and dementia is the most stable
of the clients described and would be most appropriate to assign to an
inexperienced RN. A client with vocal hoarseness and difficulty
swallowing is at higher risk for complications and requires close
observation by a more experienced nurse. Increasing anxiety and
diaphoresis in a client with Graves' disease can be an indication of
impending thyroid storm, which is an emergency; this is not a situation
to be managed by a newly graduated RN. A client who has just arrived
on the unit after a parathyroidectomy requires close observation for
,bleeding and airway compromise and requires assessment by an
experienced nurse.
The nurse is teaching a client about thyroid replacement therapy.
Which statement by the client indicates a need for further teaching?
a) "I should have more energy with this medication."
b) "I should take it every morning."
c) "If I continue to lose weight, I may need an increased dose."
d) "If I gain weight and feel tired, I may need an increased dose." -
✔✔✔ Correct Answer > Correct Answer: c
Weight loss indicates a need for a decreased dose, not an increased
dose. One of the symptoms of hypothyroidism is lack of energy; thyroid
replacement therapy should help the client have more energy. The
correct time to take thyroid replacement therapy is in the morning. If
the client is gaining weight and continues to feel tired, that is an
indication that the dose may need to be increased.
An RN and LPN/LVN are caring for a group of clients on the medical-
surgical unit. Which client will be the best to assign to the LPN/LVN?
a) Client with Graves' disease who needs discharge teaching after a
total thyroidectomy
, b) Client with hyperparathyroidism who is just being admitted for a
parathyroidectomy
c) Client with infiltrative ophthalmopathy who needs administration of
high-dose prednisone (Deltasone)
d) Newly diagnosed client with hypothyroidism who needs education
about the use of thyroid supplements - ✔✔✔ Correct Answer >
Correct Answer: c
Medication administration for the client with infiltrative
ophthalmopathy is within the scope of practice of the LPN/LVN.
Discharge teaching is a complex task that cannot be delegated to the
LPN/LVN. A client being admitted for a parathyroidectomy needs
preoperative teaching, which must be provided by the RN. A client who
has a new diagnosis will have questions about the disease and
prescribed medications; teaching is a complex task that is appropriate
for the RN.
An older client with an elevated serum calcium level is receiving IV
furosemide (Lasix) and an infusion of normal saline at 150 mL/hr. Which
nursing action can the RN delegate to unlicensed assistive personnel
(UAP)?
a) Ask the client about any numbness or tingling.
b) Check for bone deformities in the client's back.
c) Measure the client's intake and output hourly.
