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THYROID DISORDERS
Graves’ Disease / Hyperthyroidism
Q: Which finding should be assessed in Graves’ disease?
A: Tachycardia
Q: Why does tachycardia occur in Graves’ disease?
A: Due to hypermetabolism from excess thyroid hormone.
Q: What menstrual change is common in thyrotoxicosis?
A: Oligomenorrhea
Q: Why are clients with Graves’ disease irritable?
A: Excess thyroid hormone increases CNS stimulation.
Q: Desired outcome of PTU therapy?
A: Ability to sleep and rest at night
Q: Most serious adverse effect of PTU to report immediately?
A: Sore throat (risk of agranulocytosis)
Q: How does radioactive iodine (RAI) treat Graves’ disease?
A: Destroys thyroid tissue, stopping hormone production
Q: Lifelong need after RAI therapy?
A: Thyroxine replacement
Q: Purpose of SSKI before thyroidectomy?
A: Reduce thyroid gland vascularity
Q: How should SSKI be administered?
A: Diluted in liquid, drink with a straw
Q: Post-thyroidectomy priority assessment?
A: Laryngeal nerve damage (ask client to speak)
, Q: Tingling in fingers/toes after thyroidectomy indicates?
A: Hypocalcemia → notify physician
Q: Emergency medication for tetany?
A: Calcium gluconate
Hypothyroidism
Q: Common findings of hypothyroidism? (Select all)
A:
• Fatigue
• Weight gain
• Constipation
• Menorrhagia
Q: Cause of depression in hypothyroidism?
A: Low thyroid hormone levels
Q: How should levothyroxine be taken?
A: Before breakfast, other meds 4 hours later
PEPTIC ULCER DISEASE
Q: Recommended diet after discharge?
A: Any foods tolerated
Q: Best environment for ulcer healing?
A: Relaxed, low-stress environment
Q: Best daily strategy to prevent ulcer complications?
A: Periods of mental and physical rest
Q: Best time to take ranitidine?
A: At bedtime
Q: Cause of constipation with aluminum hydroxide?
A: Medication side effect