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NURS 480
NURS 480/ NURS480 – Advanced Medical
Surgical Health Nursing | WCU | 2026–2027 |
Final Exam (EXAM 3 Content) with Verified
Questions and Answers
1. Hyperthyroid Medication: BETA-ADRENERGIC BLOCKERS: Metoprolol
2. BETA-ADRENERGIC BLOCKERS: Metoprolol: Use: Treat sympathetic nervous
system effects
(tachycardia, palpitations). Counteract the effects of increased thyroid
hormones without affecting level of hormone
Nursing: Monitor blood pressure, heart rate, & ECG, hypoglycemia in clients
who have diabetes mellitus
Edu: Hypotension, dizziness. Bradycardia (Check for pulse prior to taking each
dose & notify the provider if heart rate falls below 60/min.)
- NURS 480
,3. Hyperthyroid Medication: What is the medication given prior to a
thyroidectomy?: Iodine Solutions
4. Iodine Solutions: MOA: Inhibits the release of thyroid hormone, reduces
gland size & prevents excess bleeding (short-term use only, taken for 10
days followed by surgery)
5. What are the three main complications for a thyroidectomy?: - Airway
obstruction
- Hypocalcemia
- Nerve damage
6. What nursing actions should the RN do if/ to prevent airway obstruction
occurring from a thyroidectomy complication?: - Call RRT for SOB or stridor
- Keep tracheostomy tray & suction at bedside
- High fowler's post op
- Use humidified air (thins secretions)
7. What nursing actions should the RN do if/ to prevent hypocalcemia from
occurring from a thyroidectomy complication?: - Keep IV calcium gluconate on
, 3
NURS 480
hand for hypocalcemia (S/S of hypocalcemia numbness, tingling, cheyenne's
sign)
- Seizure precaution
8. What is the priority assessment for a thyroidectomy?: - SOB
- Fever
- Restlessness
- Palpitations
- ABD pain
. What are the priority nursing actions following a thyroidectomy?: -
Maintain airway patency - Cardiac monitoring
- Fever control
9. If a patient experiences nerve damage from a thyroidectomy what needs
to be reported?: Voice change in a patient
10. HYPOthyroid- Myxedema Coma Problem: - HashimOtos (lOw &
SLOw)
- Myxedema Coma (mini hypothyroid)
- NURS 480
, - Not enough T3 & T4 circulating
11. Myxedema Coma (mini hypothyroid): - Emergency condition
- Low RR early sign (low breathing & low BP= death)
12. Myxedema Coma results in what type of state?:
Hypometabolic state
13. Labs of Myxedema Coma: - Low T3 & T4
- High TSH
14. Hypothyroid- Myxedema Coma Assessment: - Low energy
- Low metabolism
- Low digestion
- Low hair loss
- Low mental- forgetful, ALOC (altered)
- Low mood
- Low libido
- Slow dry skin turgor
- Low & slow menstruation "irregular" - No period "missed" amenorrhea
NURS 480
NURS 480/ NURS480 – Advanced Medical
Surgical Health Nursing | WCU | 2026–2027 |
Final Exam (EXAM 3 Content) with Verified
Questions and Answers
1. Hyperthyroid Medication: BETA-ADRENERGIC BLOCKERS: Metoprolol
2. BETA-ADRENERGIC BLOCKERS: Metoprolol: Use: Treat sympathetic nervous
system effects
(tachycardia, palpitations). Counteract the effects of increased thyroid
hormones without affecting level of hormone
Nursing: Monitor blood pressure, heart rate, & ECG, hypoglycemia in clients
who have diabetes mellitus
Edu: Hypotension, dizziness. Bradycardia (Check for pulse prior to taking each
dose & notify the provider if heart rate falls below 60/min.)
- NURS 480
,3. Hyperthyroid Medication: What is the medication given prior to a
thyroidectomy?: Iodine Solutions
4. Iodine Solutions: MOA: Inhibits the release of thyroid hormone, reduces
gland size & prevents excess bleeding (short-term use only, taken for 10
days followed by surgery)
5. What are the three main complications for a thyroidectomy?: - Airway
obstruction
- Hypocalcemia
- Nerve damage
6. What nursing actions should the RN do if/ to prevent airway obstruction
occurring from a thyroidectomy complication?: - Call RRT for SOB or stridor
- Keep tracheostomy tray & suction at bedside
- High fowler's post op
- Use humidified air (thins secretions)
7. What nursing actions should the RN do if/ to prevent hypocalcemia from
occurring from a thyroidectomy complication?: - Keep IV calcium gluconate on
, 3
NURS 480
hand for hypocalcemia (S/S of hypocalcemia numbness, tingling, cheyenne's
sign)
- Seizure precaution
8. What is the priority assessment for a thyroidectomy?: - SOB
- Fever
- Restlessness
- Palpitations
- ABD pain
. What are the priority nursing actions following a thyroidectomy?: -
Maintain airway patency - Cardiac monitoring
- Fever control
9. If a patient experiences nerve damage from a thyroidectomy what needs
to be reported?: Voice change in a patient
10. HYPOthyroid- Myxedema Coma Problem: - HashimOtos (lOw &
SLOw)
- Myxedema Coma (mini hypothyroid)
- NURS 480
, - Not enough T3 & T4 circulating
11. Myxedema Coma (mini hypothyroid): - Emergency condition
- Low RR early sign (low breathing & low BP= death)
12. Myxedema Coma results in what type of state?:
Hypometabolic state
13. Labs of Myxedema Coma: - Low T3 & T4
- High TSH
14. Hypothyroid- Myxedema Coma Assessment: - Low energy
- Low metabolism
- Low digestion
- Low hair loss
- Low mental- forgetful, ALOC (altered)
- Low mood
- Low libido
- Slow dry skin turgor
- Low & slow menstruation "irregular" - No period "missed" amenorrhea
