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ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID AND PARATHYROID GLANDS LATEST EXAM WITH 194 ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS

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1. A client scheduled for a par- tial thyroidectomy asks the nurse why she is being given an iodine preparation before surgery. Which is the nurse's best response? a. "Iodine will help make the internal surgical environment sterile." b. "It is given to stimulate the stor- age of excess thyroid hormones." c. "This will replace the hormones you will lose after your operation." d. "It will prevent excessive bleeding during surgery. 2. On the second postoperative day after a subtotal thyroidectomy, the client tells the nurse that he feels numbness and tingling around his mouth. Which is the nurse's prior- ity intervention? a. Offer mouth care. b. Loosen the dressing. c. Assess Chvostek's sign. d. Assess the client hourly. 3. A client has been diagnosed with hypothyroidism. Which med- ication is the nurse prepared to administer to treat the client's bradycardia? ANS: D Iodine preparations decrease the size and vascularity of the thyroid gland, reducing the risk for hemorrhage and the potential for thyroid storm during surgery. The other answers are not ac- curate. ANS: C Numbness and tingling around the mouth or in the fingers and toes are manifestations of hypocalcemia, which could progress to cause tetany and seizure activity. The nurse should assess the client further by testing for Chvostek's sign and Trousseau's sign. Then the nurse should notify the provider. The other choices do not ad- dress the emergency situation. ANS: B The treatment for bradycardia from hy- pothyroidism is to treat the hypothy- roidism using levothyroxine sodium. If the heart rate were so slow that it a. Atropine sulfate b. Levothyroxine sodium (Synthroid) c. Propranolol (Inderal) d. Epinephrine (Adrenalin) 4. A client has hypothyroidism. Which problem does the nurse ad- dress as a priority for this client? a. Heat intolerance b. Body image problems c. Depression and withdrawal d. Obesity 5. 6. The client is receiving methima- zole (Tapazole). Which statement by the client indicates good un- derstanding of teaching regarding this medication? a. "If I become pregnant, I need to notify my health care provider im- mediately." b. "Liver problems can occur with this drug so I need to report jaun- became an emergency, then atropine or epinephrine might be an option for short-term management. Inderal is a beta blocker and would be contraindi- cated for a client with bradycardia. ANS: C Hypothyroidism causes many problems in psychosocial functioning. Depression is the most common reason for seeking medical attention. Memory and atten- tion

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ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
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ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID

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ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID
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