ATI CARE OF PATIENTS WITH PROBLEMS
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OF THE THYROID AND PARATHYROID GLA
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NDS EXAM | NEWEST ACTUAL EXAM COM
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PREHENSIVE QUESTIONS AND VERIFIED A p p p p
NSWERS GRADED A+ | 100% PASS | 2024 p p p p p p p p
UPDATE!
The nurse reviews the vital signs of a client diagnosed with Graves' diseas
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e and sees that the client's temperature is up to 99.6° F. After notifying th
p p p p p p p p p p p p p p
e health care provider, what does the nurse do next?
p p p p p p p p p
a) Administers acetaminophen p
b) Alerts the Rapid Response Team p p p p
c) Asks any visitors to leave
p p p p
d) Assesses the client's cardiac status completely -p p p p p p
✔✔✔ Correct Answer > Correct Answer: d
p p p p p p p
If the client's temperature has increased by even 1°, the nurse's first acti
p p p p p p p p p p p p
on is to notify the provider. Continuous cardiac monitoring should be the
p p p p p p p p p p p
pnext step. Administering a nonsalicylate antipyretic such as acetaminop
p p p p p p p p
hen is appropriate, but is not a priority action for this client. Alerting the R
p p p p p p p p p p p p p p
apid Response Team is not needed at this time. Asking
p p p p p p p p p
,visitors to leave would not be the next action, and if visitors are providing
p p p p p p p p p p p p p p
comfort to the client, this would be contraindicated.
p p p p p p p
A client is taking methimazole (Tapazole) for hyperthyroidism and would
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like to know how soon this medication will begin working. What is the nur
p p p p p p p p p p p p p
se's best response?
p p
a) "You should see effects of this medication immediately."
p p p p p p p
b) "You should see effects of this medication within 1 week."
p p p p p p p p p
c) "You should see full effects from this medication within 1 to 2 days."
p p p p p p p p p p p p
d) "You should see some effects of this medication within 2 weeks." -
p p p p p p p p p p p
✔✔✔ Correct Answer > Correct Answer: d
p p p p p p
Methimazole is an iodine preparation that decreases blood flow through
p p p p p p p p p p
the thyroid gland. This action reduces the production and release of thyr
p p p p p p p p p p p
oid hormone. The client should see some effects within 2 weeks; howeve
p p p p p p p p p p p
r, it may take several more weeks before metabolism returns to normal.
p p p p p p p p p p p p
Although onset of action is 30 to 40 minutes after an oral dose, the client
p p p p p p p p p p p p p p p
will not see effects immediately. Effects will take longer than 1 week to b
p p p p p p p p p p p p p
ecome apparent when methimazole is used.
p p p p p
Methimazole needs to be taken every 8 hours for an extended period of
p p p p p p p p p p p p p
time. Levels of triiodothyronine (T3) and thyroxine (T4) will be monitore
p p p p p p p p p p
d and dosages adjusted as levels fall.
p p p p p p
,A nurse assesses a client with hyperthyroidism who is prescribed lithium
p p p p p p p p p p p
carbonate. Which assessment finding should alert the nurse to a side effe
p p p p p p p p p p p
ct of this therapy?
p p p
a. Blurred and double vision p p p
b. Increased thirst and urination p p p
c. Profuse nausea and diarrhea p p p
d. Decreased attention and insomnia - p p p p
✔✔✔ Correct Answer > b. Increased thirst and urination
p p p p p p p p p
ANS: B p
Lithium antagonizes antidiuretic hormone and can cause symptoms of di
p p p p p p p p p
abetes insipidus. This manifests with increased thirst and urination. Lithi
p p p p p p p p p
um has no effect on vision, gastric upset, or level of consciousness.
p p p p p p p p p p p
A nurse assesses a client who is recovering from a total thyroidectomy an
p p p p p p p p p p p p
d notes the development of stridor. Which action should the nurse take f
p p p p p p p p p p p p
irst?
a. Reassure the client that the voice change is temporary.
p p p p p p p p
b. Document the finding and assess the client hourly. p p p p p p p
c. Place the client in high-Fowler's position and apply oxygen.
p p p p p p p p
d. Contact the provider and prepare for intubation. -
p p p p p p p
✔✔✔ Correct Answer > d. Contact the provider and prepare for int
p p p p p p p p p p p p
ubation.
ANS: D p
, Stridor on exhalation is a hallmark of respiratory distress, usually caused
p p p p p p p p p p p
by obstruction resulting from edema. One emergency measure is to rem
p p p p p p p p p p
ove the surgical clips to relieve the pressure. This might be a physician fu
p p p p p p p p p p p p p
nction. The nurse should prepare to assist with emergency intubation or
p p p p p p p p p p p
tracheostomy while notifying the provider or the Rapid Response Team.
p p p p p p p p p p
Stridor is an emergency situation; therefore, reassuring the client, docu
p p p p p p p p p
menting, and reassessing in an hour do not address the urgency of the sit
p p p p p p p p p p p p p
uation. Oxygen should be applied, but this action will not keep the airway
p p p p p p p p p p p p
open
p
A client with hypothyroidism is being discharged. Which environmental c
p p p p p p p p p
hange may the client experience in the home?
p p p p p p p
a) Frequent home care p p
b) Handrails in the bath p p p
c) Increased thermostat setting p p
d) Strict infection-control measures -
p p p
✔✔✔ Correct Answer > Correct Answer: c
p p p p p p p
Manifestations of hypothyroidism include cold intolerance. Increased th
p p p p p p p
ermostat settings or additional clothing may be necessary. A client with
p p p p p p p p p p p
a diagnosis of hypothyroidism can be safely managed at home with ade
p p p p p p p p p p p
quate discharge teaching regarding medications and instructions on wh
p p p p p p p p
en to notify the health care provider or home health nurse. In general, h
p p p p p p p p p p p p p
ypothyroidism does not cause mobility issues. p p p p p
Activity intolerance and fatigue may be an issue, however. A client with
p p p p p p p p p p p
p p p p p
OF THE THYROID AND PARATHYROID GLA
p p p p p
NDS EXAM | NEWEST ACTUAL EXAM COM
p p p p p p
PREHENSIVE QUESTIONS AND VERIFIED A p p p p
NSWERS GRADED A+ | 100% PASS | 2024 p p p p p p p p
UPDATE!
The nurse reviews the vital signs of a client diagnosed with Graves' diseas
p p p p p p p p p p p p
e and sees that the client's temperature is up to 99.6° F. After notifying th
p p p p p p p p p p p p p p
e health care provider, what does the nurse do next?
p p p p p p p p p
a) Administers acetaminophen p
b) Alerts the Rapid Response Team p p p p
c) Asks any visitors to leave
p p p p
d) Assesses the client's cardiac status completely -p p p p p p
✔✔✔ Correct Answer > Correct Answer: d
p p p p p p p
If the client's temperature has increased by even 1°, the nurse's first acti
p p p p p p p p p p p p
on is to notify the provider. Continuous cardiac monitoring should be the
p p p p p p p p p p p
pnext step. Administering a nonsalicylate antipyretic such as acetaminop
p p p p p p p p
hen is appropriate, but is not a priority action for this client. Alerting the R
p p p p p p p p p p p p p p
apid Response Team is not needed at this time. Asking
p p p p p p p p p
,visitors to leave would not be the next action, and if visitors are providing
p p p p p p p p p p p p p p
comfort to the client, this would be contraindicated.
p p p p p p p
A client is taking methimazole (Tapazole) for hyperthyroidism and would
p p p p p p p p p p
like to know how soon this medication will begin working. What is the nur
p p p p p p p p p p p p p
se's best response?
p p
a) "You should see effects of this medication immediately."
p p p p p p p
b) "You should see effects of this medication within 1 week."
p p p p p p p p p
c) "You should see full effects from this medication within 1 to 2 days."
p p p p p p p p p p p p
d) "You should see some effects of this medication within 2 weeks." -
p p p p p p p p p p p
✔✔✔ Correct Answer > Correct Answer: d
p p p p p p
Methimazole is an iodine preparation that decreases blood flow through
p p p p p p p p p p
the thyroid gland. This action reduces the production and release of thyr
p p p p p p p p p p p
oid hormone. The client should see some effects within 2 weeks; howeve
p p p p p p p p p p p
r, it may take several more weeks before metabolism returns to normal.
p p p p p p p p p p p p
Although onset of action is 30 to 40 minutes after an oral dose, the client
p p p p p p p p p p p p p p p
will not see effects immediately. Effects will take longer than 1 week to b
p p p p p p p p p p p p p
ecome apparent when methimazole is used.
p p p p p
Methimazole needs to be taken every 8 hours for an extended period of
p p p p p p p p p p p p p
time. Levels of triiodothyronine (T3) and thyroxine (T4) will be monitore
p p p p p p p p p p
d and dosages adjusted as levels fall.
p p p p p p
,A nurse assesses a client with hyperthyroidism who is prescribed lithium
p p p p p p p p p p p
carbonate. Which assessment finding should alert the nurse to a side effe
p p p p p p p p p p p
ct of this therapy?
p p p
a. Blurred and double vision p p p
b. Increased thirst and urination p p p
c. Profuse nausea and diarrhea p p p
d. Decreased attention and insomnia - p p p p
✔✔✔ Correct Answer > b. Increased thirst and urination
p p p p p p p p p
ANS: B p
Lithium antagonizes antidiuretic hormone and can cause symptoms of di
p p p p p p p p p
abetes insipidus. This manifests with increased thirst and urination. Lithi
p p p p p p p p p
um has no effect on vision, gastric upset, or level of consciousness.
p p p p p p p p p p p
A nurse assesses a client who is recovering from a total thyroidectomy an
p p p p p p p p p p p p
d notes the development of stridor. Which action should the nurse take f
p p p p p p p p p p p p
irst?
a. Reassure the client that the voice change is temporary.
p p p p p p p p
b. Document the finding and assess the client hourly. p p p p p p p
c. Place the client in high-Fowler's position and apply oxygen.
p p p p p p p p
d. Contact the provider and prepare for intubation. -
p p p p p p p
✔✔✔ Correct Answer > d. Contact the provider and prepare for int
p p p p p p p p p p p p
ubation.
ANS: D p
, Stridor on exhalation is a hallmark of respiratory distress, usually caused
p p p p p p p p p p p
by obstruction resulting from edema. One emergency measure is to rem
p p p p p p p p p p
ove the surgical clips to relieve the pressure. This might be a physician fu
p p p p p p p p p p p p p
nction. The nurse should prepare to assist with emergency intubation or
p p p p p p p p p p p
tracheostomy while notifying the provider or the Rapid Response Team.
p p p p p p p p p p
Stridor is an emergency situation; therefore, reassuring the client, docu
p p p p p p p p p
menting, and reassessing in an hour do not address the urgency of the sit
p p p p p p p p p p p p p
uation. Oxygen should be applied, but this action will not keep the airway
p p p p p p p p p p p p
open
p
A client with hypothyroidism is being discharged. Which environmental c
p p p p p p p p p
hange may the client experience in the home?
p p p p p p p
a) Frequent home care p p
b) Handrails in the bath p p p
c) Increased thermostat setting p p
d) Strict infection-control measures -
p p p
✔✔✔ Correct Answer > Correct Answer: c
p p p p p p p
Manifestations of hypothyroidism include cold intolerance. Increased th
p p p p p p p
ermostat settings or additional clothing may be necessary. A client with
p p p p p p p p p p p
a diagnosis of hypothyroidism can be safely managed at home with ade
p p p p p p p p p p p
quate discharge teaching regarding medications and instructions on wh
p p p p p p p p
en to notify the health care provider or home health nurse. In general, h
p p p p p p p p p p p p p
ypothyroidism does not cause mobility issues. p p p p p
Activity intolerance and fatigue may be an issue, however. A client with
p p p p p p p p p p p
