Exam 49: Thyroid and Parathyroid Disorders

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On returning from surgery after undergoing a thyroidectomy, a patient is alarmed about the large tracheostomy tray on the bedside table.What is the nurse's most reassuring response when the patient asks why it is there?

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A

What is the appropriate action of the nurse when assessing for hemorrhage in a post-thyroidectomy patient?

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D

A patient with exophthalmos is distressed about her appearance and asks when it will go away.What is the best response by the nurse?

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C

How do foods such as soybeans, turnips, and rutabagas affect people with thyroid disorders?

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What symptoms should a nurse anticipate in the history of a patient with hyperparathyroidism?

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A patient with a hyperthyroid complains of fatigue but still cannot get to sleep.What is the best suggestion by the nurse?

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What action should a nurse implement to initiate the Chvostek sign?

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A nurse assessing a patient 1 day after a subtotal thyroidectomy notes that the patient's color is poor, the pulse and respirations are rapid, and the patient feels warm to the touch.The patient says that she feels frightened.What is the best initial implementation by the nurse?

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A physician ordered T3 and T4 tests for a young woman complaining of fatigue, weight gain, muscle aches and pains, and constipation.Which laboratory test results will help confirm the diagnosis of hypothyroidism?

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Congenital hypothyroidism, if left untreated, will result in ______.

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What patient recommendation should a nurse include when preparing to present presurgical teaching of a patient scheduled for a subtotal thyroidectomy?

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What should a nurse caring for a patient with hyperthyroidism include when developing a plan of care? (Select all that apply.)

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A patient, newly diagnosed with hypothyroidism, is anxious to begin her drug regimen.What should the nurse's instructions relative to hormone replacement include?

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What action should a nurse implement to address dry skin in the patient with hypothyroidism?

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To meet the nutritional needs of a patient with Graves disease, the nurse recommends a diet of 4,000 to ______ calories.(Use numeric characters only, no punctuation.)

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A nurse taking the blood pressure of a patient who had a total thyroidectomy 2 days earlier notes that the patient's hand goes into a carpopedal spasm.What should the nurse recognize this movement as an indication of?

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What is the nurse aware is happening when the patient with hypoparathyroidism complains of fatigue and a lack of energy?

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Why are antithyroid medications provided presurgically to a patient with hyperthyroidism? (Select all that apply.)

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Which intervention is necessary to assist a patient with hypothyroidism to understand how he can live a full and normal life?

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What is the priority nursing concern for a patient with hyperparathyroidism?

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