THYROID DISORDERS - NUR 201 QUESTIONS WITH
ACCURATE ANSWERS
A 78 year old patient in a long-term care facility has these medications prescribed.
After the patient is diagnosed with hypothyroidism, the nurse will need to consult
with the health care provider before administration of: correct answer diazepam
(Valium)
A patient has a total serum calcium level of 3. If this finding reflects
hypothyroidism the nurse would expect further diagnostic testing to reveal:
correct answer a decreased serum PTH
A patient with Graves disease is admitted to the emergency department with
thyroid storm. Which of these prescribed meds should the nurse administer first?
correct answer propranolol (inderal)
A patient with hyperthyroidism is treated with radioactive iodine. Before the
patient is discharged, the nurse instructs the patient: correct answer that
symptoms of hypothyroidism may occur as the iodine therapy takes effect
Antithyroid drugs correct answer inhibit synthesis of thyroid hormone
Side effect: leukopenia *watch for infection*
Assessment of thyroid gland correct answer ask the patient to swallow water
during inspection and palpate the gland from behind the patient
Chvostek's sign correct answer tap facial nerve, lips will twitch or quiver
, Following thyroid surgery, the nurse suspects damage or removal of the
parathyroid glands when the patient develops correct answer Laryngeal strider
and tingling in the hands and feet (hypocalcemia)
Goiter correct answer enlarged thyroid gland - most common cause is lack of
iodine in the diet
-a goiter that produces excess thyroid hormone is called toxic goiter and
commonly found in Graves disease
Graves disease complications correct answer Thyrotoxic crisis (thyroid storm) - life
threatening emergency caused by infection, trauma, or surgery
manifestations: tachycardia, heart failure, shock, hyperthermia, restlessness,
agitation, seizures, delirium, coma
Graves disease correct answer autoimmune disease of unknown origin
Clinical manifestations: *increased metabolism*, Exopthalmos - protrusion of the
eyeballs from the orbits, palpitation, tremors, elevated basal temperature, digital
clubbing and swelling
How would you monitor laryngeal nerve damage after parathyroidectomy correct
answer ask patient to swallow water during inspection and palpation
Hyperthyroidism collaborative care correct answer three primary treatment
options:
antithyroid meds
radioactive iodine therapy
subtotal thyroidectomy
ACCURATE ANSWERS
A 78 year old patient in a long-term care facility has these medications prescribed.
After the patient is diagnosed with hypothyroidism, the nurse will need to consult
with the health care provider before administration of: correct answer diazepam
(Valium)
A patient has a total serum calcium level of 3. If this finding reflects
hypothyroidism the nurse would expect further diagnostic testing to reveal:
correct answer a decreased serum PTH
A patient with Graves disease is admitted to the emergency department with
thyroid storm. Which of these prescribed meds should the nurse administer first?
correct answer propranolol (inderal)
A patient with hyperthyroidism is treated with radioactive iodine. Before the
patient is discharged, the nurse instructs the patient: correct answer that
symptoms of hypothyroidism may occur as the iodine therapy takes effect
Antithyroid drugs correct answer inhibit synthesis of thyroid hormone
Side effect: leukopenia *watch for infection*
Assessment of thyroid gland correct answer ask the patient to swallow water
during inspection and palpate the gland from behind the patient
Chvostek's sign correct answer tap facial nerve, lips will twitch or quiver
, Following thyroid surgery, the nurse suspects damage or removal of the
parathyroid glands when the patient develops correct answer Laryngeal strider
and tingling in the hands and feet (hypocalcemia)
Goiter correct answer enlarged thyroid gland - most common cause is lack of
iodine in the diet
-a goiter that produces excess thyroid hormone is called toxic goiter and
commonly found in Graves disease
Graves disease complications correct answer Thyrotoxic crisis (thyroid storm) - life
threatening emergency caused by infection, trauma, or surgery
manifestations: tachycardia, heart failure, shock, hyperthermia, restlessness,
agitation, seizures, delirium, coma
Graves disease correct answer autoimmune disease of unknown origin
Clinical manifestations: *increased metabolism*, Exopthalmos - protrusion of the
eyeballs from the orbits, palpitation, tremors, elevated basal temperature, digital
clubbing and swelling
How would you monitor laryngeal nerve damage after parathyroidectomy correct
answer ask patient to swallow water during inspection and palpation
Hyperthyroidism collaborative care correct answer three primary treatment
options:
antithyroid meds
radioactive iodine therapy
subtotal thyroidectomy
