RESPIRATORY AND ENDOCRINE EXAM
2 - ADVANCED MED SURG GALEN
COLLEGE OF NURSING QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: What are the classic clinical signs and symptoms indicating a patient
has Hyperthyroidism?
Answer: ✔✔ Tachycardia, palpitations, visible diaphoresis (excessive sweating),
pronounced heat intolerance, unexpected weight loss, atrial fibrillation, and a
detectable vascular bruit or thrill upon assessing the thyroid gland.
Question: What are the hallmark clinical manifestations associated with
Hypothyroidism?
Answer: ✔✔ Generalized fatigue, mental sluggishness, mild hypothermia, cold
intolerance, unexplained weight gain, and dry, flaky skin accompanied by thinning,
brittle nails.
Question: What clinical sign is elicited by tapping lightly over the facial nerve in
front of the ear, resulting in an involuntary facial muscle spasm?
Answer: ✔✔ Chvostek's sign (a classic indicator of underlying neuromuscular
hyperexcitability, most commonly caused by hypocalcemia).
What does a positive Chvostek's sign indicate? -ANSWER ✔✔Hypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia? -ANSWER
✔✔Trousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could
arise? -ANSWER ✔✔Airway ineffectiveness
, TSH levels in hyperthyroidism are increased or decreased? -ANSWER
✔✔Decreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased? -ANSWER
✔✔Increased
TSH levels in hypothyroidism are increased or decreased? -ANSWER
✔✔Increased (body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased? -ANSWER
✔✔Decreased
What group of people is most commonly affected by hypothyroidism? -ANSWER
✔✔women
Hypocalcemia is common when what organ is injured during surgery? -ANSWER
✔✔parathyroid
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)? -ANSWER ✔✔Coumadin
When should levothyroxine (Synthroid) be administered? -ANSWER ✔✔In the
morning, 2 hours away from any other drug
Therapy often used to treat hyperthyroidism is ____________ -ANSWER
✔✔Radioactive Iodine or Thyroidectomy
2 - ADVANCED MED SURG GALEN
COLLEGE OF NURSING QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: What are the classic clinical signs and symptoms indicating a patient
has Hyperthyroidism?
Answer: ✔✔ Tachycardia, palpitations, visible diaphoresis (excessive sweating),
pronounced heat intolerance, unexpected weight loss, atrial fibrillation, and a
detectable vascular bruit or thrill upon assessing the thyroid gland.
Question: What are the hallmark clinical manifestations associated with
Hypothyroidism?
Answer: ✔✔ Generalized fatigue, mental sluggishness, mild hypothermia, cold
intolerance, unexplained weight gain, and dry, flaky skin accompanied by thinning,
brittle nails.
Question: What clinical sign is elicited by tapping lightly over the facial nerve in
front of the ear, resulting in an involuntary facial muscle spasm?
Answer: ✔✔ Chvostek's sign (a classic indicator of underlying neuromuscular
hyperexcitability, most commonly caused by hypocalcemia).
What does a positive Chvostek's sign indicate? -ANSWER ✔✔Hypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia? -ANSWER
✔✔Trousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could
arise? -ANSWER ✔✔Airway ineffectiveness
, TSH levels in hyperthyroidism are increased or decreased? -ANSWER
✔✔Decreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased? -ANSWER
✔✔Increased
TSH levels in hypothyroidism are increased or decreased? -ANSWER
✔✔Increased (body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased? -ANSWER
✔✔Decreased
What group of people is most commonly affected by hypothyroidism? -ANSWER
✔✔women
Hypocalcemia is common when what organ is injured during surgery? -ANSWER
✔✔parathyroid
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)? -ANSWER ✔✔Coumadin
When should levothyroxine (Synthroid) be administered? -ANSWER ✔✔In the
morning, 2 hours away from any other drug
Therapy often used to treat hyperthyroidism is ____________ -ANSWER
✔✔Radioactive Iodine or Thyroidectomy
