ATI Chapter 79 Hyperthyrodism completed questions and answers rated 100%

Decrease TSH: In the presence of Graves' disease, low TSH is an expected finding. The pituitary gland decreases the production of TSH when thyroid hormone levels are elevated. A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Graves' disease. Which of the following is an expected laboratory finding? A. Decreased thyrotropin receptor antibodies B. Decreased TSH C. Decreased free thyroxine index D. Decreased triiodothyronine Heat intolerance, Palpations, Weight loss: Hyperthyroidism increases the client's metabolism. Therefore, these are an expected finding. A nurse is reviewing the clinical manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? (Select all that apply.) A. Dry skin B. Heat intolerance C. Constipation D. Palpations E. Weight loss F. Bradycardia Take your pulse before each dose: Propranolol can cause bradycardia. The client should take his pulse before each dose. If there is significant change, he should withhold the dose and consult his provider. A nurse is providing instructions to a client who has Graves' disease and has a new prescription for propranolol (Inderal). Which of the following information should the nurse include? A. An adverse effect of this medication is jaundice B. Take your pulse before each dose. C. The purpose of this medication is to decrease production of thyroid hormone D. You should stop taking this medication if you have a sore throat Suction equipment: the client may require oral or tracheal suctioning. Humidified air: thins out secretions and promotes respiratory exchange. Tracheostomy tray: the client may experience respiratory obstruction. Oxygen delivery equipment: the client may require supplemental oxygen d/t respiratory complications. A nurse is preparing to receive a patient from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply.) A. Suction equipment B. Humidified air C. Flashlight D. Tracheostomy tray E. Oxygen delivery equipment Monitor CBC: methimazole can cause a number of hematologic effects, including leukopenia and thrombocytopenia. Monitor T3: methimazole reduces thyroid hormone production. Therefore, the nurse should monitor the client's T3. Advise the client to take the medication at the same time everyday: this is to maintain blood levels A nurse in a provider's office is planning care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole (Tapazole). Which of he following should the nurse include in the plan of care? A. Monitor CBC. B. Monitor T3. C. Inform the client that the medication should not be taken for more than 3 months. D. Advise the client to take the medication at the same time every day. E. Inform the client that an adverse effect of this medication is iodine toxicity. Tremors: excessive levels of thread hormone can cause the client to experience tremors. Abdominal pain: when thread crisis occurs, the client can experience GI conditions, such as vomitting, diarrhea, and abdominal pain. Mental confusion: excessive thyroid hormone levels can cause the client to experience mental confusion. A nurse is assessing a client who is 12 hr post op following a thyroidectomy. Which of the following findings are indicative of thyroid crisis? A. Bradycardia B. Hypothermia C. Tremors D. Abdominal pain E. Mental confusion