EAQ #2 NURS 1873 SP21 (Lewis Ch. 49 -
Endocrine Disorders of the Thyroid)
UPDATED ACTUAL Questions and
CORRECT Answers
A nurse completes an assessment and notes that a patient's thyroid gland is enlarged. With which
condition is this finding consistent? - CORRECT ANSWER Goiter
A patient with a goiter mentions losing 60 pounds in three months on a "raw food diet." Which foods, if
eaten in great excess, would the nurse suspect as the cause of the goiter? - CORRECT
ANSWER Broccoli
Activity intolerance in a patient with hypothyroidism is related to which side effect? - CORRECT
ANSWER Fatigue
Which clinical manifestation is a classic finding in Graves' disease? - CORRECT
ANSWER Exophthalmos
Which rationale is accurate when explaining to a patient with hypothyroidism and coronary artery disease
(CAD) as to why the use of an enema is contraindicated? - CORRECT ANSWER Vagus-nerve
stimulation
A patient with a history of hypoparathyroidism would be assessed for which condition? - CORRECT
ANSWER Thyroidectomy
Which treatment would be done for a patient diagnosed with hyperthyroidism who presents with
nonmalignant neck nodules that are less than 3 cm in size? - CORRECT ANSWER Endoscopic
thyroidectomy
Which condition is the goal for treating hypocalcemia? - CORRECT ANSWER Decreasing the pH
, To promote optimal absorption, the nurse would instruct a patient to take their levothyroxine at which
time? - CORRECT ANSWER 0600
For a patient who presents with an enlarged thyroid gland but has normal thyroid levels, which type of
goiter would be documented in the patient's medical record? - CORRECT ANSWER Nontoxic
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that
apply. - CORRECT ANSWER -Weight loss
-Protrusion of the eyeballs
-Elevated BP
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that
apply. - CORRECT ANSWER -A positive bruit upon auscultation of the thyroid gland
-goiter
-Clubbing of the fingers
Which clinical manifestations would the nurse assess in a hospitalized patient diagnosed with Graves'
disease? Select all that apply. - CORRECT ANSWER -Dysrhythmias
-Systolic murmurs
-Systolic hypertension
Which nursing intervention would be included in the plan of care for a patient with a diagnosis of
hypothyroidism? - CORRECT ANSWER Patient teaching related to levothyroxine
Which expected outcome would be included in the plan of care for a patient with Graves' disease? -
CORRECT ANSWER The patient will demonstrate maintenance of weight.
Which nursing inventions would be included in the plan of care for a patient who had a
parathyroidectomy? Select all that apply. - CORRECT ANSWER -Monitor intake and output.
-Ensure that IV calcium is available.
Endocrine Disorders of the Thyroid)
UPDATED ACTUAL Questions and
CORRECT Answers
A nurse completes an assessment and notes that a patient's thyroid gland is enlarged. With which
condition is this finding consistent? - CORRECT ANSWER Goiter
A patient with a goiter mentions losing 60 pounds in three months on a "raw food diet." Which foods, if
eaten in great excess, would the nurse suspect as the cause of the goiter? - CORRECT
ANSWER Broccoli
Activity intolerance in a patient with hypothyroidism is related to which side effect? - CORRECT
ANSWER Fatigue
Which clinical manifestation is a classic finding in Graves' disease? - CORRECT
ANSWER Exophthalmos
Which rationale is accurate when explaining to a patient with hypothyroidism and coronary artery disease
(CAD) as to why the use of an enema is contraindicated? - CORRECT ANSWER Vagus-nerve
stimulation
A patient with a history of hypoparathyroidism would be assessed for which condition? - CORRECT
ANSWER Thyroidectomy
Which treatment would be done for a patient diagnosed with hyperthyroidism who presents with
nonmalignant neck nodules that are less than 3 cm in size? - CORRECT ANSWER Endoscopic
thyroidectomy
Which condition is the goal for treating hypocalcemia? - CORRECT ANSWER Decreasing the pH
, To promote optimal absorption, the nurse would instruct a patient to take their levothyroxine at which
time? - CORRECT ANSWER 0600
For a patient who presents with an enlarged thyroid gland but has normal thyroid levels, which type of
goiter would be documented in the patient's medical record? - CORRECT ANSWER Nontoxic
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that
apply. - CORRECT ANSWER -Weight loss
-Protrusion of the eyeballs
-Elevated BP
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that
apply. - CORRECT ANSWER -A positive bruit upon auscultation of the thyroid gland
-goiter
-Clubbing of the fingers
Which clinical manifestations would the nurse assess in a hospitalized patient diagnosed with Graves'
disease? Select all that apply. - CORRECT ANSWER -Dysrhythmias
-Systolic murmurs
-Systolic hypertension
Which nursing intervention would be included in the plan of care for a patient with a diagnosis of
hypothyroidism? - CORRECT ANSWER Patient teaching related to levothyroxine
Which expected outcome would be included in the plan of care for a patient with Graves' disease? -
CORRECT ANSWER The patient will demonstrate maintenance of weight.
Which nursing inventions would be included in the plan of care for a patient who had a
parathyroidectomy? Select all that apply. - CORRECT ANSWER -Monitor intake and output.
-Ensure that IV calcium is available.
