EXAM 2 - ADVANCED MED SURG GALEN COLLEGE OF NURSING
QUESTIONS AND VERIFIED CORRECT ANSWERS GRADED A+
S/S of Hyperthyroidism
Atrial fibrillation, bruit or thrill over the thyroid, Diaphoresis, Palpatations, Tachycardia,
Heat Intolerance, Weight loss
S/S of Hypothyroidism
Fatigue, Mental sluggishness, Hypothermia, Dry flaky skin and thinning nails, cold
intolerance, weight gane
What sign is elicited by tapping over the facial nerve and results in a spasm?
Chvostek sign
What does a positive Chvostek's sign indicate?
Hypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia?
Trousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could
arise?
Airway ineffectiveness
TSH levels in hyperthyroidism are increased or decreased?
Decreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased?
, Increased
TSH levels in hypothyroidism are increased or decreased?
Increased (body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased?
Decreased
What group of people is most commonly affected by hypothyroidism?
women
Hypocalcemia is common when what organ is injured during surgery?
parathyroid
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)?
Coumadin
When should levothyroxine (Synthroid) be administered?
In the morning, 2 hours away from any other drug
Therapy often used to treat hyperthyroidism is ____________
Radioactive Iodine or Thyroidectomy
Name one factor that most commonly triggers a thyroid storm?
Stress
S/S of Thyroid storm?
High Fever, tachycardia, nausea, vomiting, tremors, agitation, psychosis
Client teaching for Cushing's Syndrome?
Recognizing the signs and symptoms of infection and fluid retention
Client teaching for Addison's Disease?
QUESTIONS AND VERIFIED CORRECT ANSWERS GRADED A+
S/S of Hyperthyroidism
Atrial fibrillation, bruit or thrill over the thyroid, Diaphoresis, Palpatations, Tachycardia,
Heat Intolerance, Weight loss
S/S of Hypothyroidism
Fatigue, Mental sluggishness, Hypothermia, Dry flaky skin and thinning nails, cold
intolerance, weight gane
What sign is elicited by tapping over the facial nerve and results in a spasm?
Chvostek sign
What does a positive Chvostek's sign indicate?
Hypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia?
Trousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could
arise?
Airway ineffectiveness
TSH levels in hyperthyroidism are increased or decreased?
Decreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased?
, Increased
TSH levels in hypothyroidism are increased or decreased?
Increased (body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased?
Decreased
What group of people is most commonly affected by hypothyroidism?
women
Hypocalcemia is common when what organ is injured during surgery?
parathyroid
Dosages of this drug may need to be decreased if a client is also taking
levothyroxine (Synthroid)?
Coumadin
When should levothyroxine (Synthroid) be administered?
In the morning, 2 hours away from any other drug
Therapy often used to treat hyperthyroidism is ____________
Radioactive Iodine or Thyroidectomy
Name one factor that most commonly triggers a thyroid storm?
Stress
S/S of Thyroid storm?
High Fever, tachycardia, nausea, vomiting, tremors, agitation, psychosis
Client teaching for Cushing's Syndrome?
Recognizing the signs and symptoms of infection and fluid retention
Client teaching for Addison's Disease?
