NU 155 Exams 2 Questions with
Correct Answers Already Graded
A+
1. Thyroid gland - ANSWER -major role in regulating body's rate of
metabolism, growth & development
-produces thyroid hormone, triiodothyronine & calcitonin
2. thyroid gland: health history - ANSWER -changes level of: energy, sleep
patterns, personality, mental function & emotional state
-changes in menstrual cycles, sexual function, hydration, bowel elimination
patterns & tolerance to hot/cold
3. thyroid gland: physical exams - ANSWER -VS
-height & weight
-facial expression & characteristics as well as alertness
-inspect/palpate skin for moisture, temp, texture, hair texture
-examine eyes for expothamlamos
-observe hands for tremor
4. Thyroid has 3 key players: - ANSWER t3, t4( active thyroid hormones), and
calcitonin (puts tons of Ca into bones)
5. Hyperthyroidism: pathology - ANSWER -abnormally increased synthesis &
secretion of thyroid hormones
-excessive doses T4 (too much levothyroxine)
,-pituitary problem
-graves disease is most common type; it's an autoimmune disorde
6. hyperthyroidism: s/s - ANSWER -tachycardia/tachypnea
-rapid respiration
-always hot
-diarrhea
-weight loss
-agitation
-absent menses
-exothalmos
-increased thirst/urination
7. Hyperthyroidism: complications - ANSWER -cardiomyopathy
-HF
-cardiac related death
8. hyperthyroidism: treatment - ANSWER -beta blocker: propranolol (inhibits
sympathetic nervous system)
L: lowers HR
O
L: lowers BP & thyroid function
-thyroidectomy
-radioactive iodine capsules
,9. thyroidectomy - ANSWER -carpal spasms will occur when BP is taken
-facial nerve grimace or twitching when tapped (Chvostek)
-low Ca & parathyroid; keep Ca Gluconate at bedside
10.thyroidectomy: pre & post op care - ANSWER pre:
PTU to shrink thyroid, stable cardio status, stable nutritional status, and pt
teaching
post:
semi fowlers, monitor dressing & VS; trach set at bedside, suction set up ready
to use, Ca set up ready to admin.
11.thyroidectomy: post op complications - ANSWER -hypocalcemia ***
-hemorrhage/fluid deficiency **
-tachycardia
-tachypnea
-HOTN
-dysphagia **
-largyneal nerve damage
12.radioactive iodine capsules - ANSWER -monitor for iodine allergies
-cant sleep in same room as anyone
-no long car rides w/ anyone
-excretions are temp radioactive
separate utensils & toilet
-thyroid hormones all contain iodine
, -may have hyperthyroidism after
-hormone replacement for life
13.Hyperthyoidism treatment: NI & Pt teaching - ANSWER -calm
environment/dim lights/noises/cool temp
-monitor labs (hypercalcemia)
-watch for signs of thyrotoxicosis
-adequate rest
-increase fluid intake
-monitor I&O
-provide eye care/drops
-elevate HOB
14.Pt. Edu:
-high calorie/protein diet 3000cal/day
-restrict stimulants
-Sm. frequent meals
15.Thyroid storm: pathology - ANSWER -medical emergency
-usually precipitated by major stressor i.e. infection, trauma, surgery or
inadequate treatment
16.thyroid storm: s/s & NI - ANSWER -high fever ***
-tachycardia ***
-HTN ***
-tachypnea
Correct Answers Already Graded
A+
1. Thyroid gland - ANSWER -major role in regulating body's rate of
metabolism, growth & development
-produces thyroid hormone, triiodothyronine & calcitonin
2. thyroid gland: health history - ANSWER -changes level of: energy, sleep
patterns, personality, mental function & emotional state
-changes in menstrual cycles, sexual function, hydration, bowel elimination
patterns & tolerance to hot/cold
3. thyroid gland: physical exams - ANSWER -VS
-height & weight
-facial expression & characteristics as well as alertness
-inspect/palpate skin for moisture, temp, texture, hair texture
-examine eyes for expothamlamos
-observe hands for tremor
4. Thyroid has 3 key players: - ANSWER t3, t4( active thyroid hormones), and
calcitonin (puts tons of Ca into bones)
5. Hyperthyroidism: pathology - ANSWER -abnormally increased synthesis &
secretion of thyroid hormones
-excessive doses T4 (too much levothyroxine)
,-pituitary problem
-graves disease is most common type; it's an autoimmune disorde
6. hyperthyroidism: s/s - ANSWER -tachycardia/tachypnea
-rapid respiration
-always hot
-diarrhea
-weight loss
-agitation
-absent menses
-exothalmos
-increased thirst/urination
7. Hyperthyroidism: complications - ANSWER -cardiomyopathy
-HF
-cardiac related death
8. hyperthyroidism: treatment - ANSWER -beta blocker: propranolol (inhibits
sympathetic nervous system)
L: lowers HR
O
L: lowers BP & thyroid function
-thyroidectomy
-radioactive iodine capsules
,9. thyroidectomy - ANSWER -carpal spasms will occur when BP is taken
-facial nerve grimace or twitching when tapped (Chvostek)
-low Ca & parathyroid; keep Ca Gluconate at bedside
10.thyroidectomy: pre & post op care - ANSWER pre:
PTU to shrink thyroid, stable cardio status, stable nutritional status, and pt
teaching
post:
semi fowlers, monitor dressing & VS; trach set at bedside, suction set up ready
to use, Ca set up ready to admin.
11.thyroidectomy: post op complications - ANSWER -hypocalcemia ***
-hemorrhage/fluid deficiency **
-tachycardia
-tachypnea
-HOTN
-dysphagia **
-largyneal nerve damage
12.radioactive iodine capsules - ANSWER -monitor for iodine allergies
-cant sleep in same room as anyone
-no long car rides w/ anyone
-excretions are temp radioactive
separate utensils & toilet
-thyroid hormones all contain iodine
, -may have hyperthyroidism after
-hormone replacement for life
13.Hyperthyoidism treatment: NI & Pt teaching - ANSWER -calm
environment/dim lights/noises/cool temp
-monitor labs (hypercalcemia)
-watch for signs of thyrotoxicosis
-adequate rest
-increase fluid intake
-monitor I&O
-provide eye care/drops
-elevate HOB
14.Pt. Edu:
-high calorie/protein diet 3000cal/day
-restrict stimulants
-Sm. frequent meals
15.Thyroid storm: pathology - ANSWER -medical emergency
-usually precipitated by major stressor i.e. infection, trauma, surgery or
inadequate treatment
16.thyroid storm: s/s & NI - ANSWER -high fever ***
-tachycardia ***
-HTN ***
-tachypnea
