NR 293 — Week 2 Unit 4 — Hormonal Regulation
Questions With Complete Solutions
A client is being discharged home after a thyroidectomy
(surgical removal of the thyroid gland). While teaching the
client about levothyroxine, the nurse should indicate which
symptoms will occur if the prescribed dose of medication is too
low? Select all that apply. Correct Answer Weight gain
Intolerance to cold
Dry hair
A client is being treated with cosyntropin, which __________
the secretion of __________. Correct Answer Stimulates
Cortisol
A thyroid storm can be caused by stress or infection. It is a
serious situation because, during a thyroid storm when toxic
levels are reached, the client may experience which changes?
A heart rate that is __________.
A blood pressure that is __________.
A blood glucose level that is __________.
A body temperature that is __________. Correct Answer
Dangerously high
Dangerously high
Neither
Dangerously high
,Adverse effects resulting from the vasoconstrictive action of
vasopressin include which changes within the body? Select all
that apply. Correct Answer Vertigo
Tremors
An antithyroid drug, such as propylthiouracil, will result in
which possible adverse effects and safety considerations? Select
all that apply. Correct Answer Results in a decrease in thyroid
hormone level.
Gastrointestinal (GI) upset
Use caution in clients with high blood pressure.
As one-half of the neuroendocrine system, the hypothalamus
controls which endocrine gland? Correct Answer Pituitary
Complete each sentence to correctly identify the impact of
hyperthyroidism on the body.
__________ can result from hyperthyroidism when basal
metabolic rate regulation is affected by thyroid imbalance.
__________ can result from hyperthyroidism when the
neuromuscular system is affected by thyroid imbalance.
__________ can result from hyperthyroidism when the
cardiovascular system is affected by thyroid imbalance. Correct
Answer Increased appetite
Anxiety
Heart palpitation
, Complete the tables by placing each drug in the correct location.
Correct Answer Adrenocorticotropic hormone (ACTH) -
Cosyntropin
Considered the master gland, the __________ gland receives its
primary direction from the __________. Correct Answer
Pituitary
Hypothalamus
Depending on the underlying cause of the __________, surgery
may be the treatment of choice.
Following a thyroidectomy, in which __________ of the thyroid
gland is surgically removed, thyroid hormone replacement
therapy will be required __________.
The most common synthetic thyroid hormone replacement drug
used is __________. Correct Answer Hyperthyroidism
All or part; permanently
Levothyroxine
For each body system or process listed, specify if it is impacted
by the thyroid hormones by placing a mark in the Thyroid
Hormones Involved column or the Thyroid Hormones Not
Involved column. Correct Answer *Thyroid Hormones
Involved:*
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