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NURS 1220 wk 5 Thyroid And Diabetes Exam Questions And Verified Detailed Answers (A+ Graded)
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NURS 1220 wk 5 Thyroid And Diabetes Exam Questions And Verified Detailed Answers (A+ Graded)...
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NURS 1220 wk 5 Thyroid And Diabetes Exam Questions And VerifiedDetailed Answers (A+ Graded)
Thyroid hormone secretion is controlled by a _______________ mechanism - Answer
negative feedback
name the main action of the thyroid gland? - Answer to govern metabolism
route for giving radioactive iodine - Answer by mouth (PO)
list the 2 raw materials the body utilizes to produce thyroid hormone - Answer iodine &
tyrosine
findings associated with hypothyroidism - Answer metabolic rate low
weight gain despite a decrease in appetite
fatigue easy
constipated d/t slow GI
poor wound healing
cold intolerance
decreased v/s
decreased CO
slow movements
takes longer to respond
mental slowness
impaired memory
decreased energy
,how does the thyroid hormones and thyroid stimulating hormones of a patient with
hypothyroidism affected? - Answer T3 & T4 decreased
TSH increased
how does the thyroid hormones and thyroid stimulating hormones of a patient with
hyperthyroidism affected? - Answer T3 & T4 increased
TSH decreased
most common reason a person with hypothyroidism seeks medical treatment is?
-Answer depression
In hypothyroidism, tissues and organs are affected by the low metabolic rate. this
causes preponderance of water and mucous causing cellular edema that is mucinous.
This is called? -Answer myxedema
autoimmune destruction of thyroid ells beginning several weeks after a bacterial or viral
infection; destructs thyroid glad and results in hypothyroidism - Answer hashimotos
disease
drug therapy for hypothyroidism - Answer lifelong thyroid hormone replacement therapy
- levothyroxine
patient teaching related to taking levothyroxine hormone replacement - Answer take as
directed
lifelong
take with full glass water
take in the A.M. 1-2 hours before eating
low dosages increased gradually
- take on empty stomach
, If crushed, must be crushed in small amt water 5-10mL
Take immediately after crushing and mixing
Place tube feeds on hold 1-2 hours x 1 before admin
Avoid celery seed
What is the highest priority assessment you would do to your patient who has just
started with thyroid replacement therapy?
Answer: Check for tremors and ascertain the presence or absence of chest pain
If a patient is on hormone replacement therapy and is not sleeping well, then the dose
may need to be adjusted
1) If patient cannot sleep and has > BM than normal-->
2) If patient is sleeping a lot and having problems with BM--> - Answer 1) decrease dose
2) increase dose
What is a goiter?-Answer enlarged thyroid gland related to a thyroid disorder, but does
not distinguish between hypo and hyper thyroidism
The most frequent cause of death for a patient with myxedema is:-Answer Respiratory
failure
Interventions for hypothyroidism-Answer -administer O2 if pt hypoxic
-listen for absent breath sounds
-avoid sedatives such as opioids and anesthesia
-observe for signs of shock
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