Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
1. Delegation to Assistive Personal - ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (without swallowing
precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
2. Planning Care for a Client Who Has Hypothy- - Monitor for low Bp & bradycar-
roidism dia
- Monitor for chest pain & pe-
ripheral edema
- Monitor clients weight
- reorient the client if confusion
occurs
- provide frequent rest periods
to avoid fatigue & decrease my-
ocardial oxygen demands
- Monitor respiratory status
- encourage client to cough and
breathe deeply to prevent pul-
monary complications
- low calorie, high fiber diet
, & encourage fluids to pre-
vent constipation and promote
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
weight loss
- Administer cathartics and stool
softeners as needed. (Avoid
fiber laxatives, interfere with ab-
sorption of levothyroxine)
- Provide extra clothing and
blankets for clients who have
decreased cold intolerance
- caution use of electric blan-
kets
- Encourage verbalization of
feelings and fears about body
changes
- Reassure client that most
physical manifestations are re-
versible
- use caution with CNS depres-
sants (barbiturates or seda-
tives)
3. Signs of hypothyroidism - Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
- joint or muscle pain
- bradycardia, hypotension,
dysrhythmias
- slow thought process &
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
speech
- hypoventilation & pleural effu-
sion
- thickening of the skin
- hair loss
- thickening of hair on eye-
brows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods
(menorrhagia/ amenorrhea)
- delayed physical and mental
growth in children
4. Medication for hypothyroidism levothyroxin (synthetic thyroid
hormone replacement)
5. Risk factors for hypothyroidism - females 30 to 60 years of age
- use of lithium & amiodarone
medications
- Inadequate intake of iodine
- Radiation Therapy the head
and neck
6. What is hypothyroidism underactive thyroid
7. Hyperthyroidism risk factors - Graves' disease
- Thyroiditis
- Toxic adenoma
- Toxic nodular goiter
- Exogenous hyperthyroidism
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
8. What is hyperthyroidism? overactive thyroid
9. Signs of hyperthyroidism - nervousness/ irritability
- muscle weakness
- heat intolerance
- weight loss
- insomnia
- irregular menstrual flow
- frequent stools and diarrhea
- decreased libido
- Tremor, hyperkinesia, hyper-
reflexia
- Exophthalmos
- blurry vision or changes
- bloodshot appearance of
eyes
- Goiter
- Tachycardia, palpitations, dys-
thymia
- Elevated blood pressure
- dyspnea
10. Nursing care for hyperthyroidism - minimize clients energy
- promote calm environment
- monitor mental status
- monitor nutritional status
- monitor I&O / weight
- provide eye protection (patch-
es, eye lubricant, tape to close
eyelids)
- monitor vital signs and hemo-
dynamic parameters
Study online at https://quizlet.com/_91hd2q
1. Delegation to Assistive Personal - ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (without swallowing
precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable clients )
2. Planning Care for a Client Who Has Hypothy- - Monitor for low Bp & bradycar-
roidism dia
- Monitor for chest pain & pe-
ripheral edema
- Monitor clients weight
- reorient the client if confusion
occurs
- provide frequent rest periods
to avoid fatigue & decrease my-
ocardial oxygen demands
- Monitor respiratory status
- encourage client to cough and
breathe deeply to prevent pul-
monary complications
- low calorie, high fiber diet
, & encourage fluids to pre-
vent constipation and promote
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
weight loss
- Administer cathartics and stool
softeners as needed. (Avoid
fiber laxatives, interfere with ab-
sorption of levothyroxine)
- Provide extra clothing and
blankets for clients who have
decreased cold intolerance
- caution use of electric blan-
kets
- Encourage verbalization of
feelings and fears about body
changes
- Reassure client that most
physical manifestations are re-
versible
- use caution with CNS depres-
sants (barbiturates or seda-
tives)
3. Signs of hypothyroidism - Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight gain
- pallor
- think brittle fingernails
- depression & apathy
- joint or muscle pain
- bradycardia, hypotension,
dysrhythmias
- slow thought process &
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
speech
- hypoventilation & pleural effu-
sion
- thickening of the skin
- hair loss
- thickening of hair on eye-
brows
- dry flaky skin
- decreased acuity of taste
- impotence
- abnormal menstrual periods
(menorrhagia/ amenorrhea)
- delayed physical and mental
growth in children
4. Medication for hypothyroidism levothyroxin (synthetic thyroid
hormone replacement)
5. Risk factors for hypothyroidism - females 30 to 60 years of age
- use of lithium & amiodarone
medications
- Inadequate intake of iodine
- Radiation Therapy the head
and neck
6. What is hypothyroidism underactive thyroid
7. Hyperthyroidism risk factors - Graves' disease
- Thyroiditis
- Toxic adenoma
- Toxic nodular goiter
- Exogenous hyperthyroidism
, Comprehensive Predictor Retake Review
Study online at https://quizlet.com/_91hd2q
8. What is hyperthyroidism? overactive thyroid
9. Signs of hyperthyroidism - nervousness/ irritability
- muscle weakness
- heat intolerance
- weight loss
- insomnia
- irregular menstrual flow
- frequent stools and diarrhea
- decreased libido
- Tremor, hyperkinesia, hyper-
reflexia
- Exophthalmos
- blurry vision or changes
- bloodshot appearance of
eyes
- Goiter
- Tachycardia, palpitations, dys-
thymia
- Elevated blood pressure
- dyspnea
10. Nursing care for hyperthyroidism - minimize clients energy
- promote calm environment
- monitor mental status
- monitor nutritional status
- monitor I&O / weight
- provide eye protection (patch-
es, eye lubricant, tape to close
eyelids)
- monitor vital signs and hemo-
dynamic parameters
