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Nurs 1220 Week 5 Thyroid and Diabetes Test With Solution
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Nurs 1220 Week 5 Thyroid andDiabetes Test With Solution
Thyroid hormone secretion is controlled by a _______________ mechanism -
ANSWER negative feedback
the major role of the thyroid gland is to? - ANSWER regulate metabolism
radioactive iodine is given via what route - ANSWER by mouth (PO)
what two substances does the body need to produce thyroid hormone? -
ANSWER iodine & tyrosine
hypothyroidism assessment findings - ANSWER low metabolic rate
weight gain despite decreased appetite
excessive fatigue
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 are the thyroid hormones and thyroid stimulating hormones affected in
a patient with hypothyroidism? - ANSWER T3 & T4 decreased
TSH increased
how are the thyroid hormones and thyroid stimulating hormones affected in
a patient with hyperthyroidism? - ANSWER T3 & T4 increased
TSH decreased
the 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 a buildup of water and mucous causing cellular edema that
is mucinous.
this is called? - ANSWER myxedema
autoimmune destruction of thyroid ells starting several weeks after a
,bacterial or viral infection; damages thyroid glad and causes hypothyroidism
- ANSWER hashimotos disease
drug therapy for hypothyroidism - ANSWER lifelong thyroid hormone
replacement therapy
- levothyroxine
patient education about taking levothyroxine hormone replacement -
ANSWER take as prescribed
lifelong
take with full glass water
take in morning 1-2 hours before eating
low doses gradually increased
- 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 before admin
- avoid celery seed
highest priority assessment for a patient recently started on thyroid
replacement therapy - ANSWER check for tremors & determine presence or
, absence of chest pain
if a patient is taking hormone replacement therapy and is having difficulty
sleeping the dosage may need to be changed
1) if patient cannot fall asleep and has more BM than usual-->
2) if patient is sleeping too much and is having difficulty with BM--> -
ANSWER 1) decrease dose
2) increase dose
what does a goiter mean? - ANSWER enlarged thyroid gland due to a thyroid
disorder, but does not differentiate between hypo and hyper thyroidism
the most common cause of death among patients with myxedema is: -
ANSWER respiratory failure
interventions for hypothyroidism - ANSWER -apply o2 if pt hypoxic
- listen for decreased lung sounds
- avoid sedatives like opioids and anesthesia
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