Exam 1 NSG 124 questions n answers

Exam 1 NSG 124Goiter - correct answer an enlarged thyroid gland Hyperthyroidism - correct answer hyperactivity of the thyroid gland with sustained increase in synthesis and release of thyroid hormone Clinical manifestations of hyperthyroidism - correct answer goiter, may reveal bruits, opthalmopathy( abnormal eye appearance/function) weight loss, increased nervousness, clubbing of the digits, Grave's disease - correct answer An autoimmune disease of unknown etiology characterized by diffuse thyroid enlargement and excessive thyroid hormone secretion Clinical manifestations of graves - correct answer exophthalmos(protrusion of the eyeballs from the orbits that is usually bilateral) Thyrotoxicosis (thyroid storm) - correct answer acute, severe, rare condition that occurs when excessive amounts of thyroid hormones are released into the circulation, thought to result from a stressor in a pt. with pre existing hyperthyroidism Manifestations of a thyroid storm - correct answer sever tachycardia, heart failure, shock, hyperthermia, restlessness, irritability, seizures, abdominal pain, vomiting, diarrhea, delirium, coma o Propylthiouracil (Tapazole) hyperthyroidism - correct answer • Decreases synthesis of thyroid hormone. • Takes 1-2 weeks to improve and 2-4 weeks for good results • Therapy is usually done for 6015 months • The major disadvantage of PTU is noncompliance!!! o Iodine for thyroid - correct answer • Used to prep for thyroidectomy or thyrotoxic crisis