Nurse 623 Exam 2 Study Guide questions
with answers
What is Hypothyroidism - ...,.🔹VERIFIED ANSWER **✔✔-inadeqaute
amount of thyroid hormone being produced or secreted.
-Most common in women ages 30-60
"Hashiamotos"
-Look at T4 levels: normal 100-125 per day
What is a goiter - ...,.🔹VERIFIED ANSWER **✔✔hypertrophy and
hyperplasia of the thyroid gland caused by increasing levels of pituitary TSH
Subjective symptoms of Hypothtroidism - ...,.🔹VERIFIED ANSWER **✔✔"
Everythng sluggish"
swelling, nausea constipation, menorrhagia, muscle weakness, weight gain,
fatigue, lethargy
Objective Signs and SYmptoms of hypothyroidism - ...,.🔹VERIFIED ANSWER
**✔✔slowing of mental process/ dul facila expression/ hypoactive bowel
sounds/ bradykenesia/ bradycardia/ cardiac enlargement/ pleurel effusion/
decreased fertility
Hypothyroidism work up - ...,.🔹VERIFIED ANSWER **✔✔Baseline
screening at age 35.. especially with those pregnant, >60 or autoimmune
disease
, TSH, Free T4
Antithyroid antibodies to check for thyroiditis
Diagnostic values: TSH high/ T4 low
TSH>10 needs treatment
If palpating nodules need US
Hypothyroidism treatment - ...,.🔹VERIFIED ANSWER **✔✔-
Synthroid( brand specific and prefered over generic)
-Levothyroxine: overtreatment can cause osteoporosis
-start at 50-100 mcg/day ( 25mcg for elderly)
Increase by 25 mcg/day evry 4-6 weeks, max of
300 until TSH in normal reange
Complications of treatment with Hypothyroidism - ...,.🔹VERIFIED ANSWER
**✔✔if untreated myexedema....
Pt education with Hypothyroidism - ...,.🔹VERIFIED ANSWER **✔✔-Take
med in early am to javoid insomnia
-do not take at same time as mineral supplements
take 2 hours before ir 4 hours after
-Thyroid supplements can increase glucose
-may have decreased sensitivity to sedatives/
with answers
What is Hypothyroidism - ...,.🔹VERIFIED ANSWER **✔✔-inadeqaute
amount of thyroid hormone being produced or secreted.
-Most common in women ages 30-60
"Hashiamotos"
-Look at T4 levels: normal 100-125 per day
What is a goiter - ...,.🔹VERIFIED ANSWER **✔✔hypertrophy and
hyperplasia of the thyroid gland caused by increasing levels of pituitary TSH
Subjective symptoms of Hypothtroidism - ...,.🔹VERIFIED ANSWER **✔✔"
Everythng sluggish"
swelling, nausea constipation, menorrhagia, muscle weakness, weight gain,
fatigue, lethargy
Objective Signs and SYmptoms of hypothyroidism - ...,.🔹VERIFIED ANSWER
**✔✔slowing of mental process/ dul facila expression/ hypoactive bowel
sounds/ bradykenesia/ bradycardia/ cardiac enlargement/ pleurel effusion/
decreased fertility
Hypothyroidism work up - ...,.🔹VERIFIED ANSWER **✔✔Baseline
screening at age 35.. especially with those pregnant, >60 or autoimmune
disease
, TSH, Free T4
Antithyroid antibodies to check for thyroiditis
Diagnostic values: TSH high/ T4 low
TSH>10 needs treatment
If palpating nodules need US
Hypothyroidism treatment - ...,.🔹VERIFIED ANSWER **✔✔-
Synthroid( brand specific and prefered over generic)
-Levothyroxine: overtreatment can cause osteoporosis
-start at 50-100 mcg/day ( 25mcg for elderly)
Increase by 25 mcg/day evry 4-6 weeks, max of
300 until TSH in normal reange
Complications of treatment with Hypothyroidism - ...,.🔹VERIFIED ANSWER
**✔✔if untreated myexedema....
Pt education with Hypothyroidism - ...,.🔹VERIFIED ANSWER **✔✔-Take
med in early am to javoid insomnia
-do not take at same time as mineral supplements
take 2 hours before ir 4 hours after
-Thyroid supplements can increase glucose
-may have decreased sensitivity to sedatives/
