NURS 711 EXAM 2 | 103 QUESTIONS | WITH
COMPLETE SOLUTIONS.
Hypothyroidism Causes Answer - Gland malfunction
Pituitary tumor
Removal of gland
iodine deficiency
Hypothyroidism S/Sx Answer - tired
poor memory
dry skin
brittle hair and nails
bradycardia
constipation
heavy menses
cold intolerant
weight gain
Levothyroxine (Synthyroid) Answer - MOA: synthetic T4 converted to T3
Food interferes with absorption (esp. Ca)
Very highly protein bound= long T 1/2
Safe in pregnancy
,Levothyroxine Adverse Effects Answer - Rare if TSH in therapeutic range
OD is thyrotoxic crisis
-hyperthermia
-tachycardia
-restlessness
-tremor
-weight loss
Levothyroxine Pt Education Answer - Take early AM on empty stomach
Generic/brand consistency
Regular lab monitoring
Report thyrotoxic symptoms
Hyperthyroidism Causes Answer - Grave's Disease
Toxic nodular goiter
Hyperthyroidism S/Sx Answer - anxious
poor concentration
hungry
tachycardia
chest pain
hyper defecation
irregular to no menses
heat intolerance
weight loss
, Methimazole & Propylthiouracil (PTU) Answer - MOA: inhibit thyroid hormone
synthesis
PTU also suppresses conversion of T4 to T3 in the body
PTU preferred in pregnancy
Methimazole & Propylthiouracil (PTU) Adverse Effects Answer - Teratogenic
(methimazole)
Too much can cause hypothyroidism
Pt Education: frequent lab monitoring required
Glucocorticoids Physiologic Levels Answer - Minimal adverse effects
-glucose for the brain
-protein metabolism
-fat metabolism
-keeps BP in check
-maintains blood cells
Glucocorticoids Pharmacologic Levels Answer - Higher risk of adverse effects
Treating other conditions:
-allergic rxns
-lung conditions
-inflammation
-dermatologic conditions
Addison's Disease` Answer - Not enough hormone
Requires lifelong supplementation with glucocorticoid
COMPLETE SOLUTIONS.
Hypothyroidism Causes Answer - Gland malfunction
Pituitary tumor
Removal of gland
iodine deficiency
Hypothyroidism S/Sx Answer - tired
poor memory
dry skin
brittle hair and nails
bradycardia
constipation
heavy menses
cold intolerant
weight gain
Levothyroxine (Synthyroid) Answer - MOA: synthetic T4 converted to T3
Food interferes with absorption (esp. Ca)
Very highly protein bound= long T 1/2
Safe in pregnancy
,Levothyroxine Adverse Effects Answer - Rare if TSH in therapeutic range
OD is thyrotoxic crisis
-hyperthermia
-tachycardia
-restlessness
-tremor
-weight loss
Levothyroxine Pt Education Answer - Take early AM on empty stomach
Generic/brand consistency
Regular lab monitoring
Report thyrotoxic symptoms
Hyperthyroidism Causes Answer - Grave's Disease
Toxic nodular goiter
Hyperthyroidism S/Sx Answer - anxious
poor concentration
hungry
tachycardia
chest pain
hyper defecation
irregular to no menses
heat intolerance
weight loss
, Methimazole & Propylthiouracil (PTU) Answer - MOA: inhibit thyroid hormone
synthesis
PTU also suppresses conversion of T4 to T3 in the body
PTU preferred in pregnancy
Methimazole & Propylthiouracil (PTU) Adverse Effects Answer - Teratogenic
(methimazole)
Too much can cause hypothyroidism
Pt Education: frequent lab monitoring required
Glucocorticoids Physiologic Levels Answer - Minimal adverse effects
-glucose for the brain
-protein metabolism
-fat metabolism
-keeps BP in check
-maintains blood cells
Glucocorticoids Pharmacologic Levels Answer - Higher risk of adverse effects
Treating other conditions:
-allergic rxns
-lung conditions
-inflammation
-dermatologic conditions
Addison's Disease` Answer - Not enough hormone
Requires lifelong supplementation with glucocorticoid
