NU272 HESI Case Study: Thyroid Disorders
(week 4) (Latest Update )
Questions & Answers {Grade A} 100%
Correct
Meet the Client The client works full time as a high school math teacher. She is
currently working on a specialist degree, taking night classes at one of the local
colleges. She noticed that she is more sluggish than normal. She doesn't have the
energy for girls' nights out anymore, and for the past 4 months, she has not attended
her exercise classes. The client gained 10 pounds in the past 4 to 6 months. Her friends
say she acts depressed and encouraged her to see a healthcare provider (HCP) so she
makes an appointment with the HCP.
The client's presenting vital signs:
Temperature: 96.0° F (36.0° C)
,Blood pressure: 140/80 mmHg
Pulse: 52 beats/minute
Respirations: 18 breaths/minute
Pharmacologic Management - correct answer Medical treatment for hypothyroidism is
based on replacement therapy. The HCP will monitor the client's goiter for now. The
primary medication used to treat hypothyroidism is levothyroxine sodium. The HCP
prescribes 1.7 mcg/kg body weight/day. The client weights 150 lbs.
What is the client'sdaily dose of medication? (Enter numerical value only. If rounding is
necessary, round to the hundredth.) - correct answer 150 lbs = 68.18 kg
68.18 x 1.7 mcg = 115.9
115.9 mcg/1000 = 0.115 mg
, Which approach by the nurse describes the action of the levothyroxine? - correct
answer Increases fat, protein, carbohydrate metabolism.
The action of levothyroxine is the same as endogenous thyroid hormone. The drug
increases the metabolic rate (increased oxygen consumption, respiration and heart
rate) and increases the rate of fat, protein, and carbohydrate metabolism. It promotes
growth and maturation.
Which information in the client's history would be of concern to the nurse related to
the use of levothyroxine? - correct answer The client takes a daily calcium
supplement.
-
Calcium should be taken at least four hours after the Levothyroxine dose to prevent
interference with absorption.
(week 4) (Latest Update )
Questions & Answers {Grade A} 100%
Correct
Meet the Client The client works full time as a high school math teacher. She is
currently working on a specialist degree, taking night classes at one of the local
colleges. She noticed that she is more sluggish than normal. She doesn't have the
energy for girls' nights out anymore, and for the past 4 months, she has not attended
her exercise classes. The client gained 10 pounds in the past 4 to 6 months. Her friends
say she acts depressed and encouraged her to see a healthcare provider (HCP) so she
makes an appointment with the HCP.
The client's presenting vital signs:
Temperature: 96.0° F (36.0° C)
,Blood pressure: 140/80 mmHg
Pulse: 52 beats/minute
Respirations: 18 breaths/minute
Pharmacologic Management - correct answer Medical treatment for hypothyroidism is
based on replacement therapy. The HCP will monitor the client's goiter for now. The
primary medication used to treat hypothyroidism is levothyroxine sodium. The HCP
prescribes 1.7 mcg/kg body weight/day. The client weights 150 lbs.
What is the client'sdaily dose of medication? (Enter numerical value only. If rounding is
necessary, round to the hundredth.) - correct answer 150 lbs = 68.18 kg
68.18 x 1.7 mcg = 115.9
115.9 mcg/1000 = 0.115 mg
, Which approach by the nurse describes the action of the levothyroxine? - correct
answer Increases fat, protein, carbohydrate metabolism.
The action of levothyroxine is the same as endogenous thyroid hormone. The drug
increases the metabolic rate (increased oxygen consumption, respiration and heart
rate) and increases the rate of fat, protein, and carbohydrate metabolism. It promotes
growth and maturation.
Which information in the client's history would be of concern to the nurse related to
the use of levothyroxine? - correct answer The client takes a daily calcium
supplement.
-
Calcium should be taken at least four hours after the Levothyroxine dose to prevent
interference with absorption.
