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MARYVILLE NURS 623 EXAM 2 AND STUDY GUIDE 2024 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!! $29.49
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MARYVILLE NURS 623 EXAM 2 AND STUDY GUIDE 2024 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
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Course
MARYVILLE NURS 623
Institution
MARYVILLE NURS 623
MARYVILLE NURS 623 EXAM 2 AND STUDY
GUIDE 2024 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
MARYVILLE NURS 623 EXAM 2 AND STUDY
GUIDE 2024 ACTUAL EXAM COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
NURS 623 EXAM 2 MARYVILLE UNIVERSITY
What is the preferred treatment of Grave's disease in pregnancy
- ANSWER- Propylthiouracil (PTU):
Before starting anti-thyroid meds what should be checked? -
ANSWER- LIVER FUNCTIONS
what is the goal of thyroid treatment - ANSWER- euthyroid
state
What are signs and symptoms of hypothyroidism overtreatment?
- ANSWER- hyperglycemia; cardiac arrhythmias (Afib); adrenal
insufficiency; increased myxedema.
,2|Page
Hyperthyroidism causes an excessive secretion of which thyroid
hormones? - ANSWER- T3 & T4
What are S/S of hyperthyroidism? - ANSWER-
"Hot/buldging/fast" heat intolerance, eye buldge, tachycardia,
weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? - ANSWER- "cold, slow,
tired" cold intolerance, slow speech, fatigue, lethargy, weight
gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? -
ANSWER- Graves disease
Name the two thyroid hormones produced by the thyroid gland?
- ANSWER- T3 & T4
Name the hormone produced by the pituitary gland, state the
purpose of the hormone - ANSWER- TSH; regulate the
production of hormones by the thyroid gland
IN GRAVES DISEASE THE THE TSH IS _________ AND
THE T3/T4 ARE __________ - ANSWER- LOW; HIGH
,3|Page
IN HASHIMOTO'S DISEASE THE THE TSH IS _________
AND THE T3/T4 ARE __________ - ANSWER- HIGH; LOW
WHAT allows the resolution of hyperthyroidism, although
patients then become hypothyroid and require thyroid
replacement therapy for life - ANSWER- ABLATIVE DOSE
IODINE
According to the American Association of Clinical
Endocrinologists, the usual dose of levothyroxine per day for
full replacement? - ANSWER- 1.6 mcg/kg per day 50-100 MCG
DAY
what pt education do you give with levothyroxine? - ANSWER-
take meds on empty stomach 30 mins before morning meal (may
cause insomnia if taken at night)
How would you alter the dose for initiating synthetic thyroid
replacement with an older patient with hx of cardiac issues? -
ANSWER- Begin with one-half of the expected replacement
dose or 25 to50 mcg/day PO, increasing the dose gradually by
25 mcg/day once every 4 to 6 weeks; cardiac start at 12.5
mcg/day
, 4|Page
What is the long standing effects of HYPERthyroidism? -
ANSWER- OSTEOPOROSIS CONSIDER BONE DENSITY
TESTING, VIT D, & CALCIUM SUPPLEMENTS IN OLDER
PT
How long will the patient require thyroid replacement therapy
after ablative radioactive treatment for hyperthyroidism? -
ANSWER- FOR LIFE
Which treatment FOR hyperthyroidism is recommended for
middle age and older adults? - ANSWER- Radioactive iodine
131
WHAT works by inhibiting thyroid hormone synthesis at
multiple steps. They are used as a treatment to reduce the level
of hormone on initiation of radioactive iodine therapy,( not used
as primary or sole treatment) - ANSWER- ANTI-THYROID
MED (Propylthiouracil (PTU) Methimazole (MMI)
What should those treated with radioactive die be aware of? -
ANSWER- AVOID CONTACT WITH INFANTS,
CHILDREN, AND PREGNANT WOMEN FOR 7 DAYS
What is the test that assesses the functional status (hot and cold
spots) of the thyroid gland to differentiate between Grave's
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