ATI CARE OF PATIENTS WITH PROBLEMS
OF THYROID AND PARATHYROID EXAMS
2024 LATEST UPDATE QUESTIONS WITH
VERIFIED ANSWERS LATEST VERSION PASS
100% GUARANTEED
A nurse assesses a client who is prescribed levothyroxine (Synthroid)
for hypothyroidism. Which assessment finding should alert the nurse
that the medication therapy is effective?
a. Thirst is recognized and fluid intake is appropriate.
b. Weight has been the same for 3 weeks.
c. Total white blood cell count is 6000 cells/mm3.
d. Heart rate is 70 beats/min and regular. - Ans > ANS: D
d. Heart rate is 70 beats/min and regular.
Hypothyroidism decreases body functioning and can result in effects
such as bradycardia, confusion, and constipation. If a client's heart rate
is bradycardic while on thyroid hormone replacement, this is an
indicator that the replacement may not be adequate. Conversely, a
heart rate above 100 beats/min may indicate that the client is receiving
too much of the thyroid hormone. Thirst, fluid intake, weight, and
,white blood cell count do not represent a therapeutic response to this
medication.
A nurse cares for a client who has hypothyroidism as a result of
Hashimoto's thyroiditis. The client asks, "How long will I need to take
this thyroid medication?" How should the nurse respond?
a. "You will need to take the thyroid medication until the goiter is
completely gone."
b. "Thyroiditis is cured with antibiotics. Then you won't need thyroid
medication."
c. "You'll need thyroid pills for life because your thyroid won't start
working again."
d. "When blood tests indicate normal thyroid function, you can stop the
medication." - Ans > ANS: C
c. "You'll need thyroid pills for life because your thyroid won't start
working again."
Hashimoto's thyroiditis results in a permanent loss of thyroid function.
The client will need lifelong thyroid replacement therapy. The client will
not be able to stop taking the medication.
A nurse assesses clients for potential endocrine disorders. Which client
is at greatest risk for hyperparathyroidism?
a. A 29-year-old female with pregnancy-induced hypertension
,b. A 41-year-old male receiving dialysis for end-stage kidney disease
c. A 66-year-old female with moderate heart failure
d. A 72-year-old male who is prescribed home oxygen therapy - Ans > b. A
41-year-old male receiving dialysis for end-stage kidney disease
ANS: B
Clients who have chronic kidney disease do not completely activate
vitamin D and poorly absorb calcium from the GI tract. They are
chronically hypocalcemic, and this triggers overstimulation of the
parathyroid glands. Pregnancy-induced hypertension, moderate heart
failure, and home oxygen therapy do not place a client at higher risk for
hyperparathyroidism.
A nurse plans care for a client with hyperparathyroidism. Which
intervention should the nurse include in this client's plan of care?
a. Ask the client to ambulate in the hallway twice a day.
b. Use a lift sheet to assist the client with position changes.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the unlicensed assistive personnel to strain the client's urine
for stones. - Ans > ANS: B
b. Use a lift sheet to assist the client with position changes.
Hyperparathyroidism causes increased resorption of calcium from the
bones, increasing the risk for pathologic fractures. Using a lift sheet
when moving or positioning the client, instead of pulling on the client,
, reduces the risk of bone injury. Hyperparathyroidism can cause kidney
stones, but not every client will need to have urine strained. The
priority is preventing injury. Ambulating in the hall and using a soft
toothbrush are not specific interventions for this client
A nurse cares for a client who is recovering from a parathyroidectomy.
When taking the client's blood pressure, the nurse notes that the
client's hand has gone into flexion contractions. Which laboratory result
does the nurse correlate with this condition?
a. Serum potassium: 2.9 mEq/L
b. Serum magnesium: 1.7 mEq/L
c. Serum sodium: 122 mEq/L
d. Serum calcium: 6.9 mg/dL - Ans > d. Serum calcium: 6.9 mg/dL
ANS: D
Hypocalcemia destabilizes excitable membranes and can lead to muscle
twitches, spasms, and tetany. This effect of hypocalcemia is enhanced
in the presence of tissue hypoxia. The flexion contractions (Trousseau's
sign) that occur during blood pressure measurement are indicative of
hypocalcemia, not the other electrolyte imbalances, which include
hypokalemia, hyponatremia, and hypomagnesemia.
A nurse cares for a client newly diagnosed with Graves' disease. The
client's mother asks, "I have diabetes mellitus. Am I responsible for my
daughter's disease?" How should the nurse respond?
OF THYROID AND PARATHYROID EXAMS
2024 LATEST UPDATE QUESTIONS WITH
VERIFIED ANSWERS LATEST VERSION PASS
100% GUARANTEED
A nurse assesses a client who is prescribed levothyroxine (Synthroid)
for hypothyroidism. Which assessment finding should alert the nurse
that the medication therapy is effective?
a. Thirst is recognized and fluid intake is appropriate.
b. Weight has been the same for 3 weeks.
c. Total white blood cell count is 6000 cells/mm3.
d. Heart rate is 70 beats/min and regular. - Ans > ANS: D
d. Heart rate is 70 beats/min and regular.
Hypothyroidism decreases body functioning and can result in effects
such as bradycardia, confusion, and constipation. If a client's heart rate
is bradycardic while on thyroid hormone replacement, this is an
indicator that the replacement may not be adequate. Conversely, a
heart rate above 100 beats/min may indicate that the client is receiving
too much of the thyroid hormone. Thirst, fluid intake, weight, and
,white blood cell count do not represent a therapeutic response to this
medication.
A nurse cares for a client who has hypothyroidism as a result of
Hashimoto's thyroiditis. The client asks, "How long will I need to take
this thyroid medication?" How should the nurse respond?
a. "You will need to take the thyroid medication until the goiter is
completely gone."
b. "Thyroiditis is cured with antibiotics. Then you won't need thyroid
medication."
c. "You'll need thyroid pills for life because your thyroid won't start
working again."
d. "When blood tests indicate normal thyroid function, you can stop the
medication." - Ans > ANS: C
c. "You'll need thyroid pills for life because your thyroid won't start
working again."
Hashimoto's thyroiditis results in a permanent loss of thyroid function.
The client will need lifelong thyroid replacement therapy. The client will
not be able to stop taking the medication.
A nurse assesses clients for potential endocrine disorders. Which client
is at greatest risk for hyperparathyroidism?
a. A 29-year-old female with pregnancy-induced hypertension
,b. A 41-year-old male receiving dialysis for end-stage kidney disease
c. A 66-year-old female with moderate heart failure
d. A 72-year-old male who is prescribed home oxygen therapy - Ans > b. A
41-year-old male receiving dialysis for end-stage kidney disease
ANS: B
Clients who have chronic kidney disease do not completely activate
vitamin D and poorly absorb calcium from the GI tract. They are
chronically hypocalcemic, and this triggers overstimulation of the
parathyroid glands. Pregnancy-induced hypertension, moderate heart
failure, and home oxygen therapy do not place a client at higher risk for
hyperparathyroidism.
A nurse plans care for a client with hyperparathyroidism. Which
intervention should the nurse include in this client's plan of care?
a. Ask the client to ambulate in the hallway twice a day.
b. Use a lift sheet to assist the client with position changes.
c. Provide the client with a soft-bristled toothbrush for oral care.
d. Instruct the unlicensed assistive personnel to strain the client's urine
for stones. - Ans > ANS: B
b. Use a lift sheet to assist the client with position changes.
Hyperparathyroidism causes increased resorption of calcium from the
bones, increasing the risk for pathologic fractures. Using a lift sheet
when moving or positioning the client, instead of pulling on the client,
, reduces the risk of bone injury. Hyperparathyroidism can cause kidney
stones, but not every client will need to have urine strained. The
priority is preventing injury. Ambulating in the hall and using a soft
toothbrush are not specific interventions for this client
A nurse cares for a client who is recovering from a parathyroidectomy.
When taking the client's blood pressure, the nurse notes that the
client's hand has gone into flexion contractions. Which laboratory result
does the nurse correlate with this condition?
a. Serum potassium: 2.9 mEq/L
b. Serum magnesium: 1.7 mEq/L
c. Serum sodium: 122 mEq/L
d. Serum calcium: 6.9 mg/dL - Ans > d. Serum calcium: 6.9 mg/dL
ANS: D
Hypocalcemia destabilizes excitable membranes and can lead to muscle
twitches, spasms, and tetany. This effect of hypocalcemia is enhanced
in the presence of tissue hypoxia. The flexion contractions (Trousseau's
sign) that occur during blood pressure measurement are indicative of
hypocalcemia, not the other electrolyte imbalances, which include
hypokalemia, hyponatremia, and hypomagnesemia.
A nurse cares for a client newly diagnosed with Graves' disease. The
client's mother asks, "I have diabetes mellitus. Am I responsible for my
daughter's disease?" How should the nurse respond?
