QUESTIONS AND ANSWERS GUIDE- BEST
GRADES GUARANTEED.
1. Delegation to Assistive Personal: - ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (without swallowing precautions)
- Positioning
- Rountine Tasks
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, - Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
2. Planning Care for a Client Who Has Hypothyroidism: - Monitor
for low Bp & bradycardia
- Monitor for chest pain & peripheral edema
- Monitor clients weight
- reorient the client if confusion occurs
- provide frequent rest periods to avoid fatigue & decrease
myocardial oxygen demands
- Monitor respiratory status
- encourage client to cough and breathe deeply to prevent pulmonary
complications
- low calorie, high fiber diet , & encourage fluids to prevent constipation
and promote weight loss
- Administer cathartics and stool softeners as needed. (Avoid fiber
laxatives, interfere with absorption of levothyroxine)
- Provide extra clothing and blankets for clients who have decreased cold
intolerance
- caution use of electric blankets
- Encourage verbalization of feelings and fears about body changes
- Reassure client that most physical manifestations are reversible
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, - use caution with CNS depressants (barbiturates or sedatives)
3. Signs of hypothyroidism: - Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
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, - joint or muscle pain
- bradycardia, hypotension, dysrhythmias
- slow thought process & speech
- hypoventilation & pleural effusion
- thickening of the skin
- hair loss
- thickening of hair on eyebrows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods (menorrhagia/ amenorrhea)
- delayed physical and mental growth in children
4. Medication for hypothyroidism: levothyroxin (synthetic thyroid hormone re-
placement)
5. Risk factors for hypothyroidism: - females 30 to 60 years of age
- use of lithium & amiodarone medications
- Inadequate intake of iodine
- Radiation Therapy the head and neck
6. What is hypothyroidism: underactive thyroid
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