NURS 480 FINAL EXAM STUDY GUIDE | COMPLETE QUESTIONS
AND ANSWERS | 2026 LATEST UPDATED| 100% RATED CORRECT |
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1. The thyroid produces - TSH what three
hormones? - T3
- T4
2. HYPERthyroid- Thyroid Graves Disease
(Gains "High") Storm Problem -
Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
,3. Thyrotoxicosis results Hypermetabolic state
in?
4. Labs of Thyroid storm HIGH T3 & T4
Low TSH
5. Hyperthyroid- Thyroid - Grape eye "exophthalmos"
Stom Assessment - Golf balls in throat "goiter"
- High BP- HTN crisis 180/100
- Higher HR tachycardia
- Heart palpitations + atrial fibrillation
- High temp= NOT DRY
- Hot & Sweaty Skin "diaphoresis"
- Heat intolerance
- High GI "diarrhea"
6. Hyperthyroid Thyroid
-High metabolism
Storm NUTRITION
- High calories
NEEDS:
- High protein & carbs
- Not high fiber= LOW fiber
- No caffeine
- No spicy food
7. Hyperthyroid Thyroid
Patent airway! ABCs
Storm NURSING IN- -
ECG (dysrhythmia
monitoring)
TERVENTIONS - Acetaminophen (decreased temp)
- Meds, IVF, O2 (administer antithyroid medications)
, - Minimize the client's energy expenditure, calm
environment
- Safety monitoring (mental status, room temp,
change in behavior)
- Nutrition, I&O, weight, VS, ECG
- Provide eye protection for a client who has
exophthalmos
- Administer antithyroid medications
8. Hyperthyroid Medica-
Methimazole &
Propylthiouracil tion:
THIONAMIDES
9. THIONAMIDES:Methi-
MOA: inhibits the
production of thyroid
hormone mazole &
Propylthiouracil Nursing: Monitor for hypothyroidism, CBC for
leukopenia or thrombocytopenia,
hepatotoxicity
Edu: Therapeutic medication level, report fever,
sore throat, jaundice, or bruising to the
provider, dietary intake of iodine
10. Hyperthyroid Medica-
Metoprolol tion: BETA-
ADRENERGIC BLOCKERS
, 11. BETA-ADRENERGIC Use:
Treat sympathetic
nervous system effects
(tachycardia,
palpitations). BLOCKERS:
Metoprolol Counteract
the effects of increased
thyroid hormones
without affecting level of
hormone
Nursing: Monitor blood pressure, heart rate, &
ECG, hypoglycemia in clients who have diabetes
mellitus
Edu: Hypotension, dizziness. Bradycardia
(Check for pulse prior to taking each dose &
notify the provider if heart rate falls below
60/min.)
12. Hyperthyroid Medica-
Iodine Solutions tion:
What is the medication
given prior to a
thyroidectomy?
13. Iodine Solutions MOA:
Inhibits the release of
thyroid hormone, reduces
gland size &
AND ANSWERS | 2026 LATEST UPDATED| 100% RATED CORRECT |
GET A+!!
1. The thyroid produces - TSH what three
hormones? - T3
- T4
2. HYPERthyroid- Thyroid Graves Disease
(Gains "High") Storm Problem -
Thyrotoxicosis= thyroid storm
- emergent condition
- agitation/ confusion= early signs + HTN crisis
- Too much T3 & T4 circulating
,3. Thyrotoxicosis results Hypermetabolic state
in?
4. Labs of Thyroid storm HIGH T3 & T4
Low TSH
5. Hyperthyroid- Thyroid - Grape eye "exophthalmos"
Stom Assessment - Golf balls in throat "goiter"
- High BP- HTN crisis 180/100
- Higher HR tachycardia
- Heart palpitations + atrial fibrillation
- High temp= NOT DRY
- Hot & Sweaty Skin "diaphoresis"
- Heat intolerance
- High GI "diarrhea"
6. Hyperthyroid Thyroid
-High metabolism
Storm NUTRITION
- High calories
NEEDS:
- High protein & carbs
- Not high fiber= LOW fiber
- No caffeine
- No spicy food
7. Hyperthyroid Thyroid
Patent airway! ABCs
Storm NURSING IN- -
ECG (dysrhythmia
monitoring)
TERVENTIONS - Acetaminophen (decreased temp)
- Meds, IVF, O2 (administer antithyroid medications)
, - Minimize the client's energy expenditure, calm
environment
- Safety monitoring (mental status, room temp,
change in behavior)
- Nutrition, I&O, weight, VS, ECG
- Provide eye protection for a client who has
exophthalmos
- Administer antithyroid medications
8. Hyperthyroid Medica-
Methimazole &
Propylthiouracil tion:
THIONAMIDES
9. THIONAMIDES:Methi-
MOA: inhibits the
production of thyroid
hormone mazole &
Propylthiouracil Nursing: Monitor for hypothyroidism, CBC for
leukopenia or thrombocytopenia,
hepatotoxicity
Edu: Therapeutic medication level, report fever,
sore throat, jaundice, or bruising to the
provider, dietary intake of iodine
10. Hyperthyroid Medica-
Metoprolol tion: BETA-
ADRENERGIC BLOCKERS
, 11. BETA-ADRENERGIC Use:
Treat sympathetic
nervous system effects
(tachycardia,
palpitations). BLOCKERS:
Metoprolol Counteract
the effects of increased
thyroid hormones
without affecting level of
hormone
Nursing: Monitor blood pressure, heart rate, &
ECG, hypoglycemia in clients who have diabetes
mellitus
Edu: Hypotension, dizziness. Bradycardia
(Check for pulse prior to taking each dose &
notify the provider if heart rate falls below
60/min.)
12. Hyperthyroid Medica-
Iodine Solutions tion:
What is the medication
given prior to a
thyroidectomy?
13. Iodine Solutions MOA:
Inhibits the release of
thyroid hormone, reduces
gland size &
