CHAMBERLAIN ENDOCRINE EXAM
What is the most common form of hyperthyroidism - CORRECT ANSWER-Graves
disease and
goiter
What helps to make T3 and T4 - CORRECT ANSWER-Iodine
What are some clinical manifestations of hyperthyroidism - CORRECT ANSWER-
exophthalmus (protrusion of eyeballs)
Goiter may be present upon palpation of thyroid
Clubbing of fingers
Warm, smooth, moist skin
Heat intolerance
Fine hair
Increased appetite, thirst
How will TSH, T3 and T4 present in hyperthyroidism - CORRECT ANSWER-Increased
TSH
Decreased T3, T4
What is Graves' disease characterized by - CORRECT ANSWER-Autoimmune... thyroid
enlargement and excessive hormone secretions
Can go into remission and the return with exacerbations
What hormones are released by the thyroid in Graves' disease - CORRECT ANSWER-
T3 and/or T4
What is a thyroid storm and what form of thyroidism is it related to - CORRECT
ANSWER-Rare, acute and severe caused by release of excessive hormones into the
circulation.
Can be caused by stressors such as surgery, trauma and infections THYROIDECTOMY
patients are particularly at risk
What are some signs and symptoms of a thyroid storm - CORRECT ANSWER-any
hyperthyroid symptom
Severe tachycardia
heart failure
shock
hyperthermia
restlessness
seizures, abdominal pain
coma
D/V
, What is the treatment for a thyroid storm - CORRECT ANSWER-aimed at reducing the
thyroid hormone and management of symptoms
What are some tx options for hyperthyroidism - CORRECT ANSWER-antithyroid meds
radioactive iodine therapy
surgery
What are some nursing implementations when treating a pt having a thyroid storm -
CORRECT ANSWER-Monitor ECG
Adequate oxygenation
IV fluids to manage electrolyte loss
Calm, quiet environment because the pt is often restless
Cool room
Apply eye artificial tears to moisten the conjunctiva
What are 2 types of drugs used to treat hyperthyroidism - CORRECT ANSWER-PTU
(pylthiouracil)
methimazole (Tapazole
How long does it take for hyperthyroid drugs to work - CORRECT ANSWER-1-2
weeks... best results in 4-8 weeks
What are some patient teachings when it comes to drug therapy for hyperthyroidism -
CORRECT ANSWER-Do not stop medication abruptly
What are some nursing management implementations when treating a patient who has
had a thyroidectomy - CORRECT ANSWER-Iodine may be given mixed with water or
juice after every meal
Watch for dyspnea because they neck tissues my swell, hemorrhage or have a
hematoma form
Assess pt Q2h for dyspnea, hemorrhage or tracheal compression, frequent swallowing,
choking
Place patient in semi-fowlers position and support neck with pillow, monitor calcium
level and VS, monitor for tetany (tingling in toes, fingers, around the mouth, muscular
twitching), Trousseau's sign and Chvosteks' sign
Patient and caregiver teaching for hyperthyroidism management including
thyroidectomy - CORRECT ANSWER-Hormones should be monitored periodically per
dr's orders
Ensure adequate iodine intake (fish, iodized salt)
Avoid high environmental temps they inhibit thyroid regeneration
Teach s/s of thyroid failure, thyroid storm
Encourage to exercise
What is the most common form of hyperthyroidism - CORRECT ANSWER-Graves
disease and
goiter
What helps to make T3 and T4 - CORRECT ANSWER-Iodine
What are some clinical manifestations of hyperthyroidism - CORRECT ANSWER-
exophthalmus (protrusion of eyeballs)
Goiter may be present upon palpation of thyroid
Clubbing of fingers
Warm, smooth, moist skin
Heat intolerance
Fine hair
Increased appetite, thirst
How will TSH, T3 and T4 present in hyperthyroidism - CORRECT ANSWER-Increased
TSH
Decreased T3, T4
What is Graves' disease characterized by - CORRECT ANSWER-Autoimmune... thyroid
enlargement and excessive hormone secretions
Can go into remission and the return with exacerbations
What hormones are released by the thyroid in Graves' disease - CORRECT ANSWER-
T3 and/or T4
What is a thyroid storm and what form of thyroidism is it related to - CORRECT
ANSWER-Rare, acute and severe caused by release of excessive hormones into the
circulation.
Can be caused by stressors such as surgery, trauma and infections THYROIDECTOMY
patients are particularly at risk
What are some signs and symptoms of a thyroid storm - CORRECT ANSWER-any
hyperthyroid symptom
Severe tachycardia
heart failure
shock
hyperthermia
restlessness
seizures, abdominal pain
coma
D/V
, What is the treatment for a thyroid storm - CORRECT ANSWER-aimed at reducing the
thyroid hormone and management of symptoms
What are some tx options for hyperthyroidism - CORRECT ANSWER-antithyroid meds
radioactive iodine therapy
surgery
What are some nursing implementations when treating a pt having a thyroid storm -
CORRECT ANSWER-Monitor ECG
Adequate oxygenation
IV fluids to manage electrolyte loss
Calm, quiet environment because the pt is often restless
Cool room
Apply eye artificial tears to moisten the conjunctiva
What are 2 types of drugs used to treat hyperthyroidism - CORRECT ANSWER-PTU
(pylthiouracil)
methimazole (Tapazole
How long does it take for hyperthyroid drugs to work - CORRECT ANSWER-1-2
weeks... best results in 4-8 weeks
What are some patient teachings when it comes to drug therapy for hyperthyroidism -
CORRECT ANSWER-Do not stop medication abruptly
What are some nursing management implementations when treating a patient who has
had a thyroidectomy - CORRECT ANSWER-Iodine may be given mixed with water or
juice after every meal
Watch for dyspnea because they neck tissues my swell, hemorrhage or have a
hematoma form
Assess pt Q2h for dyspnea, hemorrhage or tracheal compression, frequent swallowing,
choking
Place patient in semi-fowlers position and support neck with pillow, monitor calcium
level and VS, monitor for tetany (tingling in toes, fingers, around the mouth, muscular
twitching), Trousseau's sign and Chvosteks' sign
Patient and caregiver teaching for hyperthyroidism management including
thyroidectomy - CORRECT ANSWER-Hormones should be monitored periodically per
dr's orders
Ensure adequate iodine intake (fish, iodized salt)
Avoid high environmental temps they inhibit thyroid regeneration
Teach s/s of thyroid failure, thyroid storm
Encourage to exercise
