Comprehensive Predictor Retake Review QUESTIONS AND ANSWERS GUIDE- BEST GRADES GUARANTEED.

Comprehensive Predictor Retake Review
QUESTIONS AND ANSWERS GUIDE- BEST
GRADES GUARANTEED.




1. Delegation to Assistive Personal:- ADLs
ss ss ss s ss




- Bathing

- Grooming

- Dressing

- Tioleting

- Ambulating

- Feeding(withoutswallowingprecautions)
s s s




- Positioning


mailto:https://www.stuvia.com/user/Wisdoms 1/52
s s

, - RountineTasks s




- Bed making ss




- Specimen collection ss




- I&O

- Vital Signs ( for stable clients )
ss ss ss ss ss ss




2. PlanningCarefora ClientWhoHasHypothyroidism:-Monitorforlow s ss ss ss s ss ss s ss ss ss




Bp & bradycardia
ss ss ss




- Monitor for chest pain & peripheral edema ss ss ss ss ss ss




- Monitor clients weight ss ss




- reorient the client if confusion occurs ss ss ss ss ss




- providefrequentrestperiodstoavoidfatigue&decreasemyocardial
ss ss ss ss ss ss s s ss




oxygen demands
ss ss




- Monitor respiratory status ss ss




- encourageclienttocoughandbreathedeeplytopreventpulmonary s s s s s s s s s




complications
s




- lowcalorie,highfiberdiet,&encouragefluidstopreventconstipationand
s s s s s s s s s s s s




promote weight loss
s ss ss




- Administercatharticsandstoolsoftenersasneeded.(Avoidfiberlaxatives, s s s s s s s s s




interfere with absorption of levothyroxine)
s ss ss ss ss




- Provideextraclothingandblanketsforclientswhohavedecreasedcold
s s s s s s s s s s




intolerance
s




- caution use of electric blankets ss ss ss ss




- Encourageverbalization of feelings and fears about body changes ss ss ss ss ss ss ss ss




mailto:https://www.stuvia.com/user/Wisdoms 2/52 s s

, - Reassure client that most physical manifestations are reversible
ss ss ss ss ss ss ss




- use caution with CNS depressants (barbiturates or sedatives)
ss ss ss ss ss ss ss




3. Signs ofhypothyroidism:-Fatigue/lethargy
ss ss s ss ss




- irritability

- intolerance to cold ss ss




- constipation

- weight gain ss




- pallor

- think brittle fingernails
ss ss




- depression & apathy ss ss




mailto:https://www.stuvia.com/user/Wisdoms 3/52
s s

, - joint or muscle painss ss ss




- bradycardia,hypotension,dysrhythmias ss ss




- slow thought process & speech
ss ss ss ss




- hypoventilation&pleuraleffusion s s ss




- thickening of the skin ss ss ss




- hair loss ss




- thickening of hair on eyebrows ss ss ss ss




- dry flaky skin
ss ss




- decreased acuity of taste ss ss ss




- impotence

- abnormal menstrual periods (menorrhagia/ amenorrhea) ss ss ss ss




- delayedphysicalandmentalgrowthinchildren ss ss ss ss ss ss




4. Medicationforhypothyroidism:levothyroxin(syntheticthyroidhormonere- s s s s s s s




placement)
ss




5. Riskfactors for hypothyroidism:- females 30 to 60 yearsof age
ss ss ss s ss ss ss ss ss ss ss




- use of lithium & amiodarone medications
ss ss ss ss ss




- Inadequate intake of iodine ss ss ss




- RadiationTherapy the head and neck s ss ss ss ss




6. Whatishypothyroidism:underactivethyroids ss s ss




mailto:https://www.stuvia.com/user/Wisdoms 4/52
s s