NU272 HESI Case Study: Thyroid Disorders (week 4)
Questions With Complete Solutions
At her six week appointment, The client reports of fatigue, some
increasing constipation, and weight gain. Her serum TSH level
is still elevated. Based on the clinical manifestations and lab
results, what change in medication should the nurse anticipate?
Correct Answers Increase her dose of levothyroxine.
-
The client is still exhibiting symptoms of hypothyroidism, which
will require an increase in her dose of levothyroxine. Her dose
will be increased as needed.
At the two week visit, the client and the nurse have more
discussions about her dietary intake. The nurse knows that the
client understands her dietary needs when she makes which
statement? Correct Answers "Foods that I should include in my
diet include tuna, yogurt, and macaroni."
-
All of these foods are good sources of iodine.
Based on the client's history and presenting symptoms, which
additional diagnostic tests does the nurse anticipate the HCP to
order?(Select all that apply. One, some, or all options may be
correct.) Correct Answers CBC with differential. (The HCP
needs to rule out other possible causes of the client's symptoms
which could include anemia or an infection.)
Blood Chemistries.(Chemistries would be needed to evaluate the
client's electrolyte and fluid status.)
, TSH and free T4. (These indicate the functioning or non-
functioning of the thyroid gland.)
Based on the diagnosis of hypothyroidism, what condition does
the nurses suspect the client is experiencing? Correct Answers
Myxedema crisis.
-
Myxedema is a rare life threatening condition that is a
decompensated state of severe hypothyroidism.
Based on the health care provider's (HCP) assessment and
interpretation of the diagnostics, the client is diagnosed with
hypothyroidism. Which other lab should be monitored after the
diagnosis of hypothyroidism is confirmed? Correct Answers
Triglycerides and cholesterol.
Hypothyroidism can cause increased triglyceride and cholesterol
levels, leading to coronary atherosclerosis.
Based on the nurse's assessment of these labs which finding
accurately describes the results? Correct Answers Respiratory
acidosis.
Diagnostic Tests Correct Answers The client is scheduled for a
radioactive iodine uptake test. This test is used to measure the
rate of iodine uptake by the thyroid gland. She is also scheduled
for a thyroid scan.
Home Health Care/Nursing Diagnoses Correct Answers The
home health nurse is developing a plan of care with the client
until the new dose of levothyroxine controls her symptoms.
Questions With Complete Solutions
At her six week appointment, The client reports of fatigue, some
increasing constipation, and weight gain. Her serum TSH level
is still elevated. Based on the clinical manifestations and lab
results, what change in medication should the nurse anticipate?
Correct Answers Increase her dose of levothyroxine.
-
The client is still exhibiting symptoms of hypothyroidism, which
will require an increase in her dose of levothyroxine. Her dose
will be increased as needed.
At the two week visit, the client and the nurse have more
discussions about her dietary intake. The nurse knows that the
client understands her dietary needs when she makes which
statement? Correct Answers "Foods that I should include in my
diet include tuna, yogurt, and macaroni."
-
All of these foods are good sources of iodine.
Based on the client's history and presenting symptoms, which
additional diagnostic tests does the nurse anticipate the HCP to
order?(Select all that apply. One, some, or all options may be
correct.) Correct Answers CBC with differential. (The HCP
needs to rule out other possible causes of the client's symptoms
which could include anemia or an infection.)
Blood Chemistries.(Chemistries would be needed to evaluate the
client's electrolyte and fluid status.)
, TSH and free T4. (These indicate the functioning or non-
functioning of the thyroid gland.)
Based on the diagnosis of hypothyroidism, what condition does
the nurses suspect the client is experiencing? Correct Answers
Myxedema crisis.
-
Myxedema is a rare life threatening condition that is a
decompensated state of severe hypothyroidism.
Based on the health care provider's (HCP) assessment and
interpretation of the diagnostics, the client is diagnosed with
hypothyroidism. Which other lab should be monitored after the
diagnosis of hypothyroidism is confirmed? Correct Answers
Triglycerides and cholesterol.
Hypothyroidism can cause increased triglyceride and cholesterol
levels, leading to coronary atherosclerosis.
Based on the nurse's assessment of these labs which finding
accurately describes the results? Correct Answers Respiratory
acidosis.
Diagnostic Tests Correct Answers The client is scheduled for a
radioactive iodine uptake test. This test is used to measure the
rate of iodine uptake by the thyroid gland. She is also scheduled
for a thyroid scan.
Home Health Care/Nursing Diagnoses Correct Answers The
home health nurse is developing a plan of care with the client
until the new dose of levothyroxine controls her symptoms.
