Updated Questions And Answers With
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QUESTIONS AND ANSWERS
A young adult female presents with complaints of menstrual irregularities, joint pain,
muscle weakness, and swelling in the neck. Assessment findings include exophthalmos and
pretibial myxedema. Based on these findings, the nurse practitioner (NP) should complete a
focused assessment to learn more about the client's choices related to which of the
following?
Physical activity
Dietary intake
Use of vitamin supplements
Daily caffeine consumption. ANSWER - Dietary Intake-looking for increased or decreased
iodine intake
Test for primary hypothyroidism. ANSWER - TSH, T3, T4
Common cause of Hypothyroidism. ANSWER - Hashimotos Thyroiditis
Which of the following hormone levels are elevated with primary hypothyroidism.
ANSWER - T4, T3
Which of the following statements best describes the mechanism of action of hyperthyroid
medications. ANSWER - Decrease synthesis of thyroid hormones
Laboratory testing includes thyroid-stimulating hormone (TSH) levels in combination with
thyroxine (T4) and triiodothyronine (T3).. ANSWER - A low TSH with an elevated T3
and T4 indicates primary hyperthyroidism.
A high TSH with an elevated T3 and T4 indicates secondary hyperthyroidism.
Which of the following signs or symptoms suggest a diagnosis of hyperthyroidism? Select
all that apply.