NSG 210 METABOLISM AND ADDICTION QUIZ AND VERIFIED ANSWERS| 100%
CORRECT| GRADE A (LATEST 2024/ 2025)
TSH levels - ✔✔T3 and T4
should have checked every year
From the anterior pituitary
Controls release of thyroid hormone
Grave's Disease - ✔✔autoimmune disease
Most common cause of hyperthyroidism
Thyrotoxicosis - ✔✔Excessive output of thyroid hormone (thyroid storm)
Autoimmune disorder - ✔✔body attacks itself
Who is eight times more likely than men to have hyperthyroidism? - ✔✔Women
Hyperthyroidism signs and symptoms - ✔✔Nervousness
Rapid pulse
Heat intolerance
Tremors
Skin flushed, warm, soft and moist
Exophthalmos
Increased appetite
Weight loss
Elevated systolic BP
Cardiac dysrhythmias
, If patient is in ER with palpitations, going to ? - ✔✔Get TSH level
Which med blocks synthesis of thyroid hormone? - ✔✔Methimazole
Which meds suppress release of thyroid hormone? - ✔✔Dexamethasone, Potassium iodide, and sodium
iodide
Thyroidectomy - ✔✔Treatment of choice for thyroid cancer
Modified or radical neck dissection
Possible radioactive iodine to minimize metastasis
Thyroidectomy pre op goals - ✔✔Reduce stress and anxiety to avoid thyroid storm
Educate about diet to meet metabolic needs, avoid caffeine and stimulants (already elevated BP and HR
these increase even more), explain tests and procedures, and head/neck support after surgery
Stop blood thinners (heparin, warfarin, aspirin)
Thyroidectomy post op care - ✔✔Monitor RR, potential airway complications
Monitor for bleeding and hematoma, check back of dressing
Assess pain and provide relief measures
Semi fowler's position, support head and neck
Assess voice and discourage talking
Potential for hypocalcemia
Parathyroid glands - ✔✔4 glands on the posterior thyroid gland
Regulates calcium and phosphorus
Increased PTH increases blood calcium by increasing calcium absorption in kidneys, intestines, and bone
PTH lowers phosphorus levels
Plays part in fertility
CORRECT| GRADE A (LATEST 2024/ 2025)
TSH levels - ✔✔T3 and T4
should have checked every year
From the anterior pituitary
Controls release of thyroid hormone
Grave's Disease - ✔✔autoimmune disease
Most common cause of hyperthyroidism
Thyrotoxicosis - ✔✔Excessive output of thyroid hormone (thyroid storm)
Autoimmune disorder - ✔✔body attacks itself
Who is eight times more likely than men to have hyperthyroidism? - ✔✔Women
Hyperthyroidism signs and symptoms - ✔✔Nervousness
Rapid pulse
Heat intolerance
Tremors
Skin flushed, warm, soft and moist
Exophthalmos
Increased appetite
Weight loss
Elevated systolic BP
Cardiac dysrhythmias
, If patient is in ER with palpitations, going to ? - ✔✔Get TSH level
Which med blocks synthesis of thyroid hormone? - ✔✔Methimazole
Which meds suppress release of thyroid hormone? - ✔✔Dexamethasone, Potassium iodide, and sodium
iodide
Thyroidectomy - ✔✔Treatment of choice for thyroid cancer
Modified or radical neck dissection
Possible radioactive iodine to minimize metastasis
Thyroidectomy pre op goals - ✔✔Reduce stress and anxiety to avoid thyroid storm
Educate about diet to meet metabolic needs, avoid caffeine and stimulants (already elevated BP and HR
these increase even more), explain tests and procedures, and head/neck support after surgery
Stop blood thinners (heparin, warfarin, aspirin)
Thyroidectomy post op care - ✔✔Monitor RR, potential airway complications
Monitor for bleeding and hematoma, check back of dressing
Assess pain and provide relief measures
Semi fowler's position, support head and neck
Assess voice and discourage talking
Potential for hypocalcemia
Parathyroid glands - ✔✔4 glands on the posterior thyroid gland
Regulates calcium and phosphorus
Increased PTH increases blood calcium by increasing calcium absorption in kidneys, intestines, and bone
PTH lowers phosphorus levels
Plays part in fertility