Question 1

When the patient starts taking a saturated solution of potassium iodide (SSKI),the nurse should instruct the patient to:

Accepted Answer

A)  Sip medication through a straw to prevent tooth staining. 
B)  Double the dose if a dose is missed. 
C)  Expect excessive salivation. 
D)  Take before meals. 
A)  Sip medication through a straw to prevent tooth staining. 
B)  Double the dose if a dose is missed. 
C)  Expect excessive salivation. 
D)  Take before meals.

Question 2

The 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 she feels warm to the touch.The patient says that she feels frightened.The nurse's initial implementation should be to:

Accepted Answer

A)  Tell her that there is nothing to be afraid of, and to stay to calm her. 
B)  Ask her if she would like pain medication. 
C)  Call the charge nurse; these are signs of a thyroid storm. 
D)  Get a tracheostomy set at the bedside. 
A)  Tell her that there is nothing to be afraid of, and to stay to calm her. 
B)  Ask her if she would like pain medication. 
C)  Call the charge nurse; these are signs of a thyroid storm. 
D)  Get a tracheostomy set at the bedside.

Question 3

The 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; the nurse recognizes this movement as an indication of:

Accepted Answer

A)  Hyperkalemia, called the Allen sign 
B)  Hypernatremia, called the Hogan sign 
C)  Hypocalcemia, called the Trousseau sign 
D)  Hypokalemia, called the Chvostek sign 
A)  Hyperkalemia, called the Allen sign 
B)  Hypernatremia, called the Hogan sign 
C)  Hypocalcemia, called the Trousseau sign 
D)  Hypokalemia, called the Chvostek sign

Question 4

The nurse would anticipate that the patient with hyperparathyroidism would exhibit a history of:

Accepted Answer

A)  Fatigue, hyperactive reflexes, muscle cramps, and twitching 
B)  Poor muscle tone, bone pain, urinary calculi, and fractures 
C)  Hunger, thirst, and urinary retention 
D)  Tachycardia, air hunger, and nervousness 
A)  Fatigue, hyperactive reflexes, muscle cramps, and twitching 
B)  Poor muscle tone, bone pain, urinary calculi, and fractures 
C)  Hunger, thirst, and urinary retention 
D)  Tachycardia, air hunger, and nervousness

Question 5

The nurse makes a list of symptoms that the patient who is taking methimazole (Tapazole),a thionamide drug,should report.This list includes:

Accepted Answer

A)  Becoming Pregnancy 
B)  Jaundice 
C)  Blood in the stool 
D)  Rash 
E)  Urine retention 
A)  Becoming Pregnancy 
B)  Jaundice 
C)  Blood in the stool 
D)  Rash 
E)  Urine retention

Question 6

The patient who has hypothyroidism can live a full and normal life if he is:

Accepted Answer

A)  Taught the importance of taking his antithyroid medication until it is no longer needed. 
B)  Able to exercise to burn extra calories and maintain a normal weight. 
C)  Taught to take care of his energy needs through adequate nutrition. 
D)  Treated with thyroid replacement therapy. 
A)  Taught the importance of taking his antithyroid medication until it is no longer needed. 
B)  Able to exercise to burn extra calories and maintain a normal weight. 
C)  Taught to take care of his energy needs through adequate nutrition. 
D)  Treated with thyroid replacement therapy.

Question 7

When the patient with hypoparathyroidism complains of fatigue and a lack of energy,the nurse is aware that:

Accepted Answer

A)  Hypertension is the cause of the fatigue. 
B)  Hypocalcemia has caused decreased cardiac output. 
C)  Dyspnea has sapped the patient's energy. 
D)  Poor muscle tone makes any activity tiring. 
A)  Hypertension is the cause of the fatigue. 
B)  Hypocalcemia has caused decreased cardiac output. 
C)  Dyspnea has sapped the patient's energy. 
D)  Poor muscle tone makes any activity tiring.

Question 8

To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.

Accepted Answer

4000,5000
The patient with Gra

Question 9

To assess for hemorrhage in a post thyroidectomy patient the nurse should:

Accepted Answer

A)  Assess upper chest for the patient positioned in high Fowler position. 
B)  Turn the patient to the side to check; the patient must be kept flat in the bed. 
C)  Lift up the neck dressing to assess for excessive bleeding. 
D)  Examine behind patient's neck and upper back to assess for hemorrhage. 
A)  Assess upper chest for the patient positioned in high Fowler position. 
B)  Turn the patient to the side to check; the patient must be kept flat in the bed. 
C)  Lift up the neck dressing to assess for excessive bleeding. 
D)  Examine behind patient's neck and upper back to assess for hemorrhage.

Question 10

The home health care nurse is aware that hypothyroidism is frequently overlooked in older adults because:

Accepted Answer

A)  Signs and symptoms are subtle. 
B)  Signs and symptoms are discounted as age-related changes. 
C)  Weight changes in the older adult are not pronounced. 
D)  Older adults are not susceptible to thyroid disorders. 
E)  Decrease in mental function is attributed to dementia. 
A)  Signs and symptoms are subtle. 
B)  Signs and symptoms are discounted as age-related changes. 
C)  Weight changes in the older adult are not pronounced. 
D)  Older adults are not susceptible to thyroid disorders. 
E)  Decrease in mental function is attributed to dementia.

Question 11

The nurse caring for a patient with hyperthyroidism would include in the nursing care plan implementations for:

Accepted Answer

A)  Decreasing weight 
B)  Provision of a cool environment 
C)  Eye care 
D)  Nutritional support 
E)  Prevention of diarrhea 
A)  Decreasing weight 
B)  Provision of a cool environment 
C)  Eye care 
D)  Nutritional support 
E)  Prevention of diarrhea

Exam 45: Thyroid and Parathyroid Disorders

When the patient starts taking a saturated solution of potassium iodide (SSKI),the nurse should instruct the patient to:

The 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 she feels warm to the touch.The patient says that she feels frightened.The nurse's initial implementation should be to:

The 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; the nurse recognizes this movement as an indication of:

The nurse would anticipate that the patient with hyperparathyroidism would exhibit a history of:

The nurse makes a list of symptoms that the patient who is taking methimazole (Tapazole),a thionamide drug,should report.This list includes:

The patient who has hypothyroidism can live a full and normal life if he is:

When the patient with hypoparathyroidism complains of fatigue and a lack of energy,the nurse is aware that:

To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of ____________________ to ____________________ calories.

To assess for hemorrhage in a post thyroidectomy patient the nurse should:

The home health care nurse is aware that hypothyroidism is frequently overlooked in older adults because:

The nurse caring for a patient with hyperthyroidism would include in the nursing care plan implementations for:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters

To meet the nutritional needs of a patient with Graves disease,the nurse recommends a diet of to calories.