NR 325 Exam 1
hypothyroidism (labs) - CORRECT ANSWERS high TSH, low T3 and T4
clinical manifestations of hypothyroidism - CORRECT ANSWERS fatigue, wt gain,
cold intolerance, dry skin, periorbital edema
management of hypothyroidism - CORRECT ANSWERS low fat, high fiber diet and
levothyroxine (synthroid) education
levothyroxine/synthroid education - CORRECT ANSWERS -take in morning before
breakfast
-DO NOT abruptly stop taking or skip a dose
-monitor thyroid levels
-report tachycardia
-avoid soy products (decreases med effectiveness)
-can take wks to achieve therapeutic level
myxedema coma (r/t hypothyroidism) - CORRECT ANSWERS -emergency
-Q2 turn
-aspiration precautions d/t edema and thickening of tongue
-IV hormone replacement
-monitor neurological, CV, and respiratory systems
hyperthyroidism (labs) - CORRECT ANSWERS low TSH, high T3 and T4
clinical manifestations of hyperthyroidism - CORRECT ANSWERS wt loss,
exophthalmos, tremors, warm skin, heat intolerance, thin and brittle hair
management of hyperthyroidism - CORRECT ANSWERS -antithyroid meds (can
take months to work appropriately)
-low stimulus environment (d/t high metabolism and the sensitivity of the SNS)
-RAI (damages thyroid, teach pt s/s pf hypothyroidism)
-thyroidectomy
-cardiac monitor (d/t increase risk of dysrhythmias)
-high calorie and high protein diet
PTH (parathyroid hormone) - CORRECT ANSWERS helps regulate serum calcium
and phosphate levels
hyperparathyroidism - CORRECT ANSWERS condition involving an increased
secretion of PTH (parathyroid hormone)
causes of hyperparathyroidism - CORRECT ANSWERS -long term lithium therapy
, -parathyroid tumor
-radiation
-vitamin D deficiencies
hyperparathyroidism labs - CORRECT ANSWERS increased calcium
clinical manifestations of hyperparathyroidism - CORRECT ANSWERS may be
asymptomatic, shortened attention span, muscle wkness, constipation, fatigue
management of hyperparathyroidism - CORRECT ANSWERS remove parathyroid
gland and manage hypercalcemia
complications of hyperparathyroidism - CORRECT ANSWERS -fxs (d/t increased
calcium and phosphate in the blood, which decreases bone density)
-renal failure
-pancreatitis
-osteoporosis
Cushing's (labs) - CORRECT ANSWERS increased cortisol levels
***clinical manifestations of Cushing's - CORRECT ANSWERS moon face, buffalo
hump, hyperglycemia, wt gain, purple striae, easily bruises, acne, HTN, hirsutism,
irregular periods and/or amenorrhea
management of Cushing's - CORRECT ANSWERS -transsphenoidal hyposectomy
(removal of pituitary tumor)
-adrenalectomy
-mitotane (suppresses the synthesis of cortisol)
normal fasting BG level - CORRECT ANSWERS < 100
normal post-prandial BG - CORRECT ANSWERS < 140
normal A1C - CORRECT ANSWERS < 6.5%
clinical manifestations of DM II - CORRECT ANSWERS fatigue, polyuria, polydipsia,
polyphagia, blurred vision, n/v
management of DM II - CORRECT ANSWERS -rule of 15
-use thiazide diuretics and corticosteroids w/ caution (both effect glucose tolerance)
-rules for exercise (don't exercise at peak of insulin, don't exercise w/ ketones in urine,
best time to exercise is after eating d/t increase in glucose)
-get yearly flu shot
***types of rapid acting insulin - CORRECT ANSWERS -lispro (Humalog)
-aspart (Novolog)
hypothyroidism (labs) - CORRECT ANSWERS high TSH, low T3 and T4
clinical manifestations of hypothyroidism - CORRECT ANSWERS fatigue, wt gain,
cold intolerance, dry skin, periorbital edema
management of hypothyroidism - CORRECT ANSWERS low fat, high fiber diet and
levothyroxine (synthroid) education
levothyroxine/synthroid education - CORRECT ANSWERS -take in morning before
breakfast
-DO NOT abruptly stop taking or skip a dose
-monitor thyroid levels
-report tachycardia
-avoid soy products (decreases med effectiveness)
-can take wks to achieve therapeutic level
myxedema coma (r/t hypothyroidism) - CORRECT ANSWERS -emergency
-Q2 turn
-aspiration precautions d/t edema and thickening of tongue
-IV hormone replacement
-monitor neurological, CV, and respiratory systems
hyperthyroidism (labs) - CORRECT ANSWERS low TSH, high T3 and T4
clinical manifestations of hyperthyroidism - CORRECT ANSWERS wt loss,
exophthalmos, tremors, warm skin, heat intolerance, thin and brittle hair
management of hyperthyroidism - CORRECT ANSWERS -antithyroid meds (can
take months to work appropriately)
-low stimulus environment (d/t high metabolism and the sensitivity of the SNS)
-RAI (damages thyroid, teach pt s/s pf hypothyroidism)
-thyroidectomy
-cardiac monitor (d/t increase risk of dysrhythmias)
-high calorie and high protein diet
PTH (parathyroid hormone) - CORRECT ANSWERS helps regulate serum calcium
and phosphate levels
hyperparathyroidism - CORRECT ANSWERS condition involving an increased
secretion of PTH (parathyroid hormone)
causes of hyperparathyroidism - CORRECT ANSWERS -long term lithium therapy
, -parathyroid tumor
-radiation
-vitamin D deficiencies
hyperparathyroidism labs - CORRECT ANSWERS increased calcium
clinical manifestations of hyperparathyroidism - CORRECT ANSWERS may be
asymptomatic, shortened attention span, muscle wkness, constipation, fatigue
management of hyperparathyroidism - CORRECT ANSWERS remove parathyroid
gland and manage hypercalcemia
complications of hyperparathyroidism - CORRECT ANSWERS -fxs (d/t increased
calcium and phosphate in the blood, which decreases bone density)
-renal failure
-pancreatitis
-osteoporosis
Cushing's (labs) - CORRECT ANSWERS increased cortisol levels
***clinical manifestations of Cushing's - CORRECT ANSWERS moon face, buffalo
hump, hyperglycemia, wt gain, purple striae, easily bruises, acne, HTN, hirsutism,
irregular periods and/or amenorrhea
management of Cushing's - CORRECT ANSWERS -transsphenoidal hyposectomy
(removal of pituitary tumor)
-adrenalectomy
-mitotane (suppresses the synthesis of cortisol)
normal fasting BG level - CORRECT ANSWERS < 100
normal post-prandial BG - CORRECT ANSWERS < 140
normal A1C - CORRECT ANSWERS < 6.5%
clinical manifestations of DM II - CORRECT ANSWERS fatigue, polyuria, polydipsia,
polyphagia, blurred vision, n/v
management of DM II - CORRECT ANSWERS -rule of 15
-use thiazide diuretics and corticosteroids w/ caution (both effect glucose tolerance)
-rules for exercise (don't exercise at peak of insulin, don't exercise w/ ketones in urine,
best time to exercise is after eating d/t increase in glucose)
-get yearly flu shot
***types of rapid acting insulin - CORRECT ANSWERS -lispro (Humalog)
-aspart (Novolog)
