1. What is the definition of hyperthyroidism? Excessive production of
thyroid hormones by the
thyroid gland which can
cause thyrotoxicosis.
2. Your patient has been c/o of "Hot and High" symp- neck
toms. Where would you palpate the patient to identify
the cause of her symptoms?
3. Excessive overproduction of thyroid hormones that thyrotoxicosis
regulate growth and metabolism can lead to which life
threatening disorder?
4. Which of the following patients is the most at risk for a 35 year old female
the development of hyperthyroidism?
5. Which of the following disorders is the most common Graves disease
form of hyperthyroidism, accounting for 80% of cas-
es?
6. Which of the following are lesser etiologies of hyper- A, B, C, E
thyroidism? (SATA)
A. Pituitary tumors
B. excessive iodine intake
C. thyroid cancer
D. deficient iodine intake
E. thyroiditis
7. When examining your patient, which of the following A, B, C, E
clinical manifestations, when found, would point to a
diagnosis of hyperthyroidism? (SATA)
, A. tachycardia
B. goiter
C. excessive thirst/hunger
D. weight gain
E. constipation
F. tachypnea
8. Your patient makes an appt to be seen for excessive digital clubbing and
diaphoresis. During intake, she also reveals that she swelling of the fingers
has noticeable thinning of her nails and hair loss. At
her last visit, she weighed 15 lbs more than she did
at her weigh in today. You suspect hyperthyroidism.
Which physical manifestation would further confirm
your suspicions?
9. Which of the following clinical manifestations of hy- B, D, F, G
perthyroidism are often confused with other disor-
ders and require additional testing to rule out? (SATA)
A. bradycardia
B. fatigue
C. bradypnea
D. weakness
E. weight gain
F. dependent edema
G. osteoporosis
10. Which of the following nervous system symptoms are A, B, E, F
indicative of hyperthyroidism? (SATA)
A. nervousness
B. mood lability
C. diarrhea
, D. weight loss
E. difficulty concentrating
F. insomnia
11. Which of the following patients might you suspect of a 25 year old female with
having hyperthyroidism? menstrual irregularities
12. Which symptom of hyperthyroidism is indicated by a exophthalmos
retraction of the eyelid and protrusion of the eye as
a result of the body's immune system attacking the
muscles and tissues around the eye?
13. What is the mechanism behind a patient with hyper- increase in the body's me-
thyroidism being intolerant to heat? tabolism
14. Which of the following statements made by a patient "I may cause damage to
with hyperthyroidism regarding exophthalmos is in- my eyes by using means to
correct? maintain closure for sleep
and should therefore re-
quest an Rx sleep aid from
my HCP."
15. Which of the following life threatening symptoms B, C, D, E,
would the nurse include in a teaching plan for a pa-
tient who has excessive release of thyroid hormones?
(SATA)
A. a body temperature of 86
B. body temperature of 102
C. agitation/restlessness
D. heartbeat of 164
E. being unable to remember where you are