NUR 235 Test 3 UPDATED Questions and
CORRECT Answers
what are the thyroid hormones - CORRECT ANSWER - Thyroxine (T4)
Triiodothyronine (T3)
TSH
Euthyroid - CORRECT ANSWER - normal thyroid function
Myxedema coma - CORRECT ANSWER - extreme hypothyroidism(abrupt med
cessation), rare with a high mortality rate = decreased cardiac output leads to decreased tissue
perfusion which leads to brain and organ depletion leading to multi-organ failure
Thyrotoxicosis - CORRECT ANSWER - condition resulting from extreme hypersecretion
of thyroid hormones; symptoms include rapid heart action, tremors, enlarged thyroid gland,
exophthalmos, and weight loss
AKA thyroid storm
what is HYPERthyroidism - CORRECT ANSWER - -continuous excessive release of
thyroid hormones
-occurs more often in women
-highest frequency between ages 20-40
what is the most common form of hyperthyroidism - CORRECT ANSWER - Graves
disease
what are some causes of hyperthyroidism - CORRECT ANSWER - thyrotoxicosis
-less common: toxic nodular goiter, thyroiditis, excess iodine intake, pituitary tumors, thyroid
cancer
,what is Graves Disease? - CORRECT ANSWER - - an autoimmune disease
diffuse thyroid enlargement
excess thyroid hormone secretion
eventual thyroid tissue destruction
what can graves disease lead to? - CORRECT ANSWER - hypothyroidism due to the
destruction of the thyroid tissue
clinical manifestations of Graves disease - CORRECT ANSWER - - Goiter
- Warm, flushed skin
- Exopthalmus
- Tachycardia
- Increased nervousness
- Emotionally labile
- Increased appetite with weight loss
- Heat intolerance
- Profuse perspiration
manifestations of hyperthyroidism would include - CORRECT ANSWER - increase
sensitivity to heat
sudden weight loss
frequent bowel movements
sweating
fine, brittle hair
rapid pounding heartbeat
nervousness and irritability
tremor
difficulty sleeping
,change in menstrual pattern
What is exophthalmos? - CORRECT ANSWER - bulging eyes, d/t hyperthyroidism
nursing care for exophthalmos would include what? - CORRECT ANSWER - -promote
comfort by applying artificial tears
-restrict sodium (reduces periorbital edema)
-elevate head of bed
-wear dark glasses
-cover eyes with gauze or lightly tape eyes shut when asleep if they do not close
what are some cardiovascular symptoms seen in hyperthyroidism - CORRECT
ANSWER - systolic HTN
Bounding, rapid pulse, palpitations
increased cardiac output
cardiac hypertrophy
systolic murmurs
dysrhythmias
angina
what are some respiratory symptoms seen in hyperthyroidism - CORRECT ANSWER -
dyspnea on mild exertion
tachypnea
what are some GI symptoms seen in hyperthyroidism - CORRECT ANSWER - increased
appetite, thirst
weight loss (sudden)
Diarrhea
splenomegaly
, hepatomegaly
what are some symptoms you would see in the skin for hyperthyroidism - CORRECT
ANSWER - warm, smooth, moist skin
thin, brittle nails
hair loss
acropachy, palmar erythema
fine, silky hair, premature graying in men
Diaphoresis
vitiligo
what are some musculoskeletal symptoms seen in hyperthyroidism - CORRECT
ANSWER - fatigue
weakness
proximal muscle wasting
dependent edema
osteoporosis
what are some nervous system symptoms you may see in hyperthyroidism - CORRECT
ANSWER - hyperactive deep tendon reflexes
nervousness, fine tremors
insomnia, difficulty focusing eyes
lability of mood, delirium
lack of ability to concentrate
stupor, coma
Reproductive symptoms seen in hyperthyroidism - CORRECT ANSWER - menstrual
irregularities
amenorrhea
CORRECT Answers
what are the thyroid hormones - CORRECT ANSWER - Thyroxine (T4)
Triiodothyronine (T3)
TSH
Euthyroid - CORRECT ANSWER - normal thyroid function
Myxedema coma - CORRECT ANSWER - extreme hypothyroidism(abrupt med
cessation), rare with a high mortality rate = decreased cardiac output leads to decreased tissue
perfusion which leads to brain and organ depletion leading to multi-organ failure
Thyrotoxicosis - CORRECT ANSWER - condition resulting from extreme hypersecretion
of thyroid hormones; symptoms include rapid heart action, tremors, enlarged thyroid gland,
exophthalmos, and weight loss
AKA thyroid storm
what is HYPERthyroidism - CORRECT ANSWER - -continuous excessive release of
thyroid hormones
-occurs more often in women
-highest frequency between ages 20-40
what is the most common form of hyperthyroidism - CORRECT ANSWER - Graves
disease
what are some causes of hyperthyroidism - CORRECT ANSWER - thyrotoxicosis
-less common: toxic nodular goiter, thyroiditis, excess iodine intake, pituitary tumors, thyroid
cancer
,what is Graves Disease? - CORRECT ANSWER - - an autoimmune disease
diffuse thyroid enlargement
excess thyroid hormone secretion
eventual thyroid tissue destruction
what can graves disease lead to? - CORRECT ANSWER - hypothyroidism due to the
destruction of the thyroid tissue
clinical manifestations of Graves disease - CORRECT ANSWER - - Goiter
- Warm, flushed skin
- Exopthalmus
- Tachycardia
- Increased nervousness
- Emotionally labile
- Increased appetite with weight loss
- Heat intolerance
- Profuse perspiration
manifestations of hyperthyroidism would include - CORRECT ANSWER - increase
sensitivity to heat
sudden weight loss
frequent bowel movements
sweating
fine, brittle hair
rapid pounding heartbeat
nervousness and irritability
tremor
difficulty sleeping
,change in menstrual pattern
What is exophthalmos? - CORRECT ANSWER - bulging eyes, d/t hyperthyroidism
nursing care for exophthalmos would include what? - CORRECT ANSWER - -promote
comfort by applying artificial tears
-restrict sodium (reduces periorbital edema)
-elevate head of bed
-wear dark glasses
-cover eyes with gauze or lightly tape eyes shut when asleep if they do not close
what are some cardiovascular symptoms seen in hyperthyroidism - CORRECT
ANSWER - systolic HTN
Bounding, rapid pulse, palpitations
increased cardiac output
cardiac hypertrophy
systolic murmurs
dysrhythmias
angina
what are some respiratory symptoms seen in hyperthyroidism - CORRECT ANSWER -
dyspnea on mild exertion
tachypnea
what are some GI symptoms seen in hyperthyroidism - CORRECT ANSWER - increased
appetite, thirst
weight loss (sudden)
Diarrhea
splenomegaly
, hepatomegaly
what are some symptoms you would see in the skin for hyperthyroidism - CORRECT
ANSWER - warm, smooth, moist skin
thin, brittle nails
hair loss
acropachy, palmar erythema
fine, silky hair, premature graying in men
Diaphoresis
vitiligo
what are some musculoskeletal symptoms seen in hyperthyroidism - CORRECT
ANSWER - fatigue
weakness
proximal muscle wasting
dependent edema
osteoporosis
what are some nervous system symptoms you may see in hyperthyroidism - CORRECT
ANSWER - hyperactive deep tendon reflexes
nervousness, fine tremors
insomnia, difficulty focusing eyes
lability of mood, delirium
lack of ability to concentrate
stupor, coma
Reproductive symptoms seen in hyperthyroidism - CORRECT ANSWER - menstrual
irregularities
amenorrhea
