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22問 • 1年前

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A physician ordered T3 and T4 tests for a young woman complaining of fatigue, weight gain, muscle aches and pains, and constipation. Which laboratory test results will help confirm the diagnosis of hypothyroidism?

Both tests show decreases.

A patient with a hyperthyroid complains of fatigue but still cannot get to sleep. Which is the best suggestion by the nurse?

Adhering to a bedtime ritual

A patient with exophthalmos is distressed about her appearance and asks when it will go away. Which is the best response by the nurse?

It usually subsides after medication for hyperthyroidism is started.

A nurse is explaining Graves disease to a newly diagnosed patient. Which statement by the nurse best clarifies the pathophysiologic changes of Graves disease?

“Your thyroid gland is overactive, but there are ways to treat it through medicine or surgery.”

A nurse assessing a patient 1 day after a subtotal thyroidectomy notes that the patient’s color is poor, the pulse and respirations are rapid, and the patient feels warm to the touch. The patient says that she feels frightened. Which action is the best initial implementation by the nurse?

Call the charge nurse; these are signs of a thyroid storm.

Which is the most appropriate nursing concern for the patient recently diagnosed with hyperthyroidism?

Disturbed sleep pattern

A patient, newly diagnosed with hypothyroidism, is anxious to begin her drug regimen. Which information should the nurse’s instructions relative to hormone replacement include?

“Know the signs and symptoms of hyperthyroidism.”

Which patient recommendation should a nurse include when preparing to present presurgical teaching of a patient scheduled for a subtotal thyroidectomy?

Demonstrate how to deep breathe and support her head during position changes.

On returning from surgery after undergoing a thyroidectomy, a patient is alarmed about the large tracheostomy tray on the bedside table. Which reply is the nurse’s most reassuring response when the patient asks why it is there?

“We have it there as a precautionary measure in the unlikely event that you have difficulty breathing.”

Which statement correctly reflects how foods, such as soybeans, turnips, and rutabagas, affect people with thyroid disorders?

Suppress thyroid hormone.

Which action is the most appropriate for the nurse to implement when assessing for hemorrhage in a post-thyroidectomy patient?

Examine behind patient’s neck and upper back to assess for hemorrhage.

A nurse taking the blood pressure of a patient who had a total thyroidectomy 2 days earlier notes that the patient’s hand goes into a carpopedal spasm. Which disorder should the nurse recognize this movement as an indication of?

Hypocalcemia, called the Trousseau sign

Which action should a nurse implement to address dry skin in the patient with hypothyroidism?

Apply lotions and creams to help maintain moisture.

Which t action should a nurse implement to initiate the Chvostek sign?

Tap the face over the facial nerve and watch for a spasm of the facial muscle.

Which symptoms should a nurse anticipate in the history of a patient with hyperparathyroidism?

Poor muscle tone, bone pain, urinary calculi, and fractures

Which problem is the priority nursing concern for a patient with hyperparathyroidism?

Potential urinary obstruction

Which problem is the nurse aware is happening when the patient with hypoparathyroidism complains of fatigue and a lack of energy?

Hypocalcemia has caused decreased cardiac output.

Which intervention is necessary to assist a patient with hypothyroidism to understand how he can live a full and normal life?

Encourage treatment with thyroid replacement therapy.

Which statement explains why antithyroid medications are provided presurgically to a patient with hyperthyroidism? (Select all that apply.)

To decrease the level of hormone in the blood before surgery, To help reduce the risk of hemorrhage during surgery, To decrease the threat of a thyroid storm, To reduce exophthalmia

Which information should a nurse caring for a patient with hyperthyroidism include when developing a plan of care? (Select all that apply.)

Provision of a cool environment, Eye care, Nutritional support, Prevention of diarrhea

To meet the nutritional needs of a patient with Graves disease, the nurse recommends a diet of 4,000 to calories. (Use numeric characters only, no punctuation.)

5000

Congenital hypothyroidism, if left untreated, will result in _________.

cretinism

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ユーザ名非公開 · 61問 · 1年前

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