PM
Mark Klimek NCLEX-RN Review 2026-2027 |
High-Yield Notes, Mnemonics & Rationales | Lab
Values, Prioritization, Endocrine, Maternity &
More | Nursing Licensure Study Guide.
Hyperthyroidism is also called
Grave's disease or hypermetabolism
Tip to remember Grave's disease s/s's
"Run yourself into the Grave" - everything is up ... diarrhea, thin, hot, high BP,
high HR, cold tolerance, hot intolerance
Treatment for Grave's disease
Radioactive Iodine, PTU (put thyroid under), surgically remove
Total thyroidectomy ... totals get
tetany, need lifelong hormone replacement
After thyroidectomy patients are at risk for
hypocalcemia, remember hypocalcemia is opposite of the prefix and anything
to BP so tetany, parasthesia
parathesia
numbness and tingling, first sign of electrolyte imbalance
Subtotal thyroidectomy ... subs get
storm
S/S of thyroid storm
Extremely high vital signs, hyperpyrexia, psychotic delerium
1/43
,6/13/26, 1:42 NCLEX-RN
PM
How to treat thyroid storm
give o2, lower temp to spare brain
Risks post op for total thyroidectomy
2/43
,6/13/26, 1:42 NCLEX-RN
PM
airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia
leading to tetany
Risks post op for sub total thyroidectomy
airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm
Hypothyroidism is also called
Myxedema or hypometabolism
S/S of mydexema
everything is down, constipation, heat tolerance, cold intolerance
Treatment for mydexema
give thyroid medications
Where to put the 5 ice packs to cool a thyroid storm patient
neck pits groin
If you cool a patient too fast what might happen?
Heart arrythmias
Never hold the hormone for what patient?
patient who is NPO with mydexema
Addison's disease easy way to remember
Add a Sone (sone = steroid)
Adrenal Cortex diseases easy way to remember
A in Adrenal stands for
Addison's C in Cortex stands
for Cushing's
Addison's disease is
undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into
3/43
, 6/13/26, 1:42 NCLEX-RN
PM
shock very easily. STRESS can trigger.
4/43