Question 1

In the assessment of a client with hypothyroidism, the nurse would include

Accepted Answer

A)  serum calcium levels. 
B)  serum cholesterol levels. 
C)  urine glucose levels. 
D)  urine specific gravity. 
A)  serum calcium levels. 
B)  serum cholesterol levels. 
C)  urine glucose levels. 
D)  urine specific gravity. B

Question 2

In the initial treatment of a teenager with hyperthyroidism, the nurse would anticipate using

Accepted Answer

A)  levothyroxine sodium (Synthroid). 
B)  liothyronine sodium (Cytomel). 
C)  methimazole (Tapazole). 
D)  radioactive iodine (131I). 
A)  levothyroxine sodium (Synthroid). 
B)  liothyronine sodium (Cytomel). 
C)  methimazole (Tapazole). 
D)  radioactive iodine (131I). C

Question 3

A nurse is caring for a client with Graves' disease. Based on clinical manifestations, which nursing diagnosis would be most appropriate?

Accepted Answer

A)  Altered Body Image 
B)  Constipation 
C)  Fluid Volume Deficit 
D)  Impaired Nutrition-More Than Body Requirements 
A)  Altered Body Image 
B)  Constipation 
C)  Fluid Volume Deficit 
D)  Impaired Nutrition-More Than Body Requirements A

Question 4

As part of the care plan to meet the needs of a client with mild hypothyroidism, the nurse would

Accepted Answer

A)  apply an astringent to the client's skin to promote dryness. 
B)  plan a strenuous exercise regimen to decrease weight. 
C)  set the thermostat between 75° and 80° F to provide a comfortable climate. 
D)  suggest the consumption of dense fruit to decrease diarrhea. 
A)  apply an astringent to the client's skin to promote dryness. 
B)  plan a strenuous exercise regimen to decrease weight. 
C)  set the thermostat between 75° and 80° F to provide a comfortable climate. 
D)  suggest the consumption of dense fruit to decrease diarrhea.

Question 5

In making emergency equipment available at the bedside of a client who has undergone subtotal thyroidectomy, the nurse would include

Accepted Answer

A)  a defibrillator. 
B)  a tracheostomy set. 
C)  an electrocardiogram (ECG) monitor. 
D)  an intra-aortic balloon pump. 
A)  a defibrillator. 
B)  a tracheostomy set. 
C)  an electrocardiogram (ECG) monitor. 
D)  an intra-aortic balloon pump.

Question 6

A client just returned from surgery for a thyroid disorder and complains that his/her mouth has an odd sensation. Which medication should the nurse anticipate administering?

Accepted Answer

A)  Calcium gluconate 
B)  Epinephrine 
C)  Potassium chloride 
D)  Rectal aspirin 
A)  Calcium gluconate 
B)  Epinephrine 
C)  Potassium chloride 
D)  Rectal aspirin

Question 7

The nurse caring for a client with hyperparathyroidism should assign priority to

Accepted Answer

A)  averting infection. 
B)  coughing hourly. 
C)  encouraging exercise. 
D)  preventing falls. 
A)  averting infection. 
B)  coughing hourly. 
C)  encouraging exercise. 
D)  preventing falls.

Question 8

In a client with Graves' disease receiving radioiodine, the nurse would monitor for the common treatment complication of

Accepted Answer

A)  hypothyroidism. 
B)  pulmonary emboli. 
C)  skin breakdown. 
D)  urinary tract infection. 
A)  hypothyroidism. 
B)  pulmonary emboli. 
C)  skin breakdown. 
D)  urinary tract infection.

Question 9

Self-care measures the nurse should teach a client with hypoparathyroidism include eating a

Accepted Answer

A)  high-calcium, low-phosphorus diet. 
B)  high-phosphorus, high-calcium diet. 
C)  low-calcium, low-protein diet. 
D)  low-protein, high-calorie diet. 
A)  high-calcium, low-phosphorus diet. 
B)  high-phosphorus, high-calcium diet. 
C)  low-calcium, low-protein diet. 
D)  low-protein, high-calorie diet.

Question 10

In a client with hyperthyroidism, the nurse would expect to see

Accepted Answer

A)  anorexia, constipation, and cold extremities. 
B)  blurred vision, night sweats, and palpitations. 
C)  heat intolerance, weight loss, and diarrhea. 
D)  muscle cramps, paresthesias, and numbness of the fingers and toes. 
A)  anorexia, constipation, and cold extremities. 
B)  blurred vision, night sweats, and palpitations. 
C)  heat intolerance, weight loss, and diarrhea. 
D)  muscle cramps, paresthesias, and numbness of the fingers and toes.

Question 11

To increase the comfort of a client with exophthalmos, the nurse would

Accepted Answer

A)  elevate the head of the bed at night. 
B)  provide warm soaks. 
C)  restrict activity. 
D)  restrict fluids. 
A)  elevate the head of the bed at night. 
B)  provide warm soaks. 
C)  restrict activity. 
D)  restrict fluids.

Question 12

The nurse caring for a client after a thyroidectomy plans care understanding that which of the following nursing diagnoses takes priority?

Accepted Answer

A)  Acute Pain 
B)  Imbalanced Nutrition 
C)  Impaired Skin Integrity 
D)  Risk for Suffocation 
A)  Acute Pain 
B)  Imbalanced Nutrition 
C)  Impaired Skin Integrity 
D)  Risk for Suffocation

Question 13

To aid in immobilizing the head of a client after thyroidectomy, the nurse would obtain

Accepted Answer

A)  a headboard. 
B)  hand towels. 
C)  Kerlix rolls. 
D)  sandbags. 
A)  a headboard. 
B)  hand towels. 
C)  Kerlix rolls. 
D)  sandbags.

Question 14

The nurse should assess a client with a history of hypothyroidism for

Accepted Answer

A)  goiter. 
B)  Graves' disease. 
C)  Hashimoto's thyroiditis. 
D)  myxedema. 
A)  goiter. 
B)  Graves' disease. 
C)  Hashimoto's thyroiditis. 
D)  myxedema.

Question 15

In a client admitted to the clinical unit with a sporadic goiter, the nurse might expect to find that the client

Accepted Answer

A)  frequently travels in foreign countries. 
B)  has a large intake of aspirin. 
C)  ingests a large amount of cabbage. 
D)  lives in the Great Lakes region. 
A)  frequently travels in foreign countries. 
B)  has a large intake of aspirin. 
C)  ingests a large amount of cabbage. 
D)  lives in the Great Lakes region.

Question 16

The nursing diagnosis Impaired Urinary Elimination has been assigned to the client with hyperparathyroidism. To address this diagnosis, the nurse would

Accepted Answer

A)  encourage the client to void frequently. 
B)  force fluids to 3 liters/day. 
C)  not administer fluids with meals. 
D)  withhold acidic juices in the diet. 
A)  encourage the client to void frequently. 
B)  force fluids to 3 liters/day. 
C)  not administer fluids with meals. 
D)  withhold acidic juices in the diet.

Question 17

In a newly admitted client with thyrotoxicosis, the nurse would plan to address the clinical manifestation of

Accepted Answer

A)  fluid overload. 
B)  hypothermia. 
C)  respiratory distress. 
D)  tachycardia. 
A)  fluid overload. 
B)  hypothermia. 
C)  respiratory distress. 
D)  tachycardia.

Question 18

The nurse counseling a client in the prevention of goiter would suggest an increased intake of

Accepted Answer

A)  calcium. 
B)  iodine. 
C)  potassium. 
D)  protein. 
A)  calcium. 
B)  iodine. 
C)  potassium. 
D)  protein.

Question 19

A nurse assessing a client finds a thyroid nodule that is hard, irregular, and painless. The nurse should suspect

Accepted Answer

A)  exophthalmos. 
B)  goiter. 
C)  Hashimoto's thyroiditis. 
D)  thyroid cancer. 
A)  exophthalmos. 
B)  goiter. 
C)  Hashimoto's thyroiditis. 
D)  thyroid cancer.

Exam 43: Management of Clients with Thyroid and Parathyroid Disorders

In the assessment of a client with hypothyroidism, the nurse would include

In the initial treatment of a teenager with hyperthyroidism, the nurse would anticipate using

A nurse is caring for a client with Graves' disease. Based on clinical manifestations, which nursing diagnosis would be most appropriate?

As part of the care plan to meet the needs of a client with mild hypothyroidism, the nurse would

In making emergency equipment available at the bedside of a client who has undergone subtotal thyroidectomy, the nurse would include

A client just returned from surgery for a thyroid disorder and complains that his/her mouth has an odd sensation. Which medication should the nurse anticipate administering?

The nurse caring for a client with hyperparathyroidism should assign priority to

In a client with Graves' disease receiving radioiodine, the nurse would monitor for the common treatment complication of

Self-care measures the nurse should teach a client with hypoparathyroidism include eating a

In a client with hyperthyroidism, the nurse would expect to see

To increase the comfort of a client with exophthalmos, the nurse would

The nurse caring for a client after a thyroidectomy plans care understanding that which of the following nursing diagnoses takes priority?

To aid in immobilizing the head of a client after thyroidectomy, the nurse would obtain

The nurse should assess a client with a history of hypothyroidism for

In a client admitted to the clinical unit with a sporadic goiter, the nurse might expect to find that the client

The nursing diagnosis Impaired Urinary Elimination has been assigned to the client with hyperparathyroidism. To address this diagnosis, the nurse would

In a newly admitted client with thyrotoxicosis, the nurse would plan to address the clinical manifestation of

The nurse counseling a client in the prevention of goiter would suggest an increased intake of

A nurse assessing a client finds a thyroid nodule that is hard, irregular, and painless. The nurse should suspect

Health Promotion and Disease Prevention

Health Assessment

Critical Thinking

Complementary and Alternative Therapies

Ambulatory Health Care

Acute Health Care

Critical Care

Home Health Care

Long-Term Care

Rehabilitation

Clients with Fluid Imbalances

Clients with Electrolyte Imbalances

Acid-Base Balance

Clients Having Surgery

Perspectives in Genetics

Perspectives in Oncology

Clients with Cancer

Clients with Wounds

Perspectives on Infectious Disease and Bioterrorism

Clients with Pain

Perspectives in Palliative Care

Clients with Sleep and Rest Disorders and Fatigue

Clients with Psychosocial and Mental Health Concerns

Clients with Substance Abuse Disorders

Assessment of the Musculoskeletal System

Management of Clients with Musculoskeletal Disorders

Management of Clients with Musculoskeletal Trauma or Overuse

Assessment of Nutrition and the Digestive System

Management of Clients with Malnutrition

Management of Clients with Ingestive Disorders

Management of Clients with Digestive Disorders

Assessment of Elimination

Management of Clients with Intestinal Disorders

Management of Clients with Urinary Disorders

Management of Clients with Renal Disorders

Management of Clients with Renal Failure

Assessment of the Reproductive System

Management of Men with Reproductive Disorders

Management of Women with Reproductive Disorders

Management of Clients with Breast Disorders

Management of Clients with Sexually Transmitted Infections

Assessment of the Endocrine and Metabolic Systems

Management of Clients with Adrenal and Pituitary Disorders

Management of Clients with Diabetes Mellitus

Management of Clients with Exocrine Pancreatic and Biliary Disorders

Management of Clients with Hepatic Disorders

Assessment of the Integumentary System

Management of Clients with Integumentary Disorders

Management of Clients with Burn Injury

Assessment of the Vascular System

Management of Clients with Hypertensive Disorders

Management of Clients with Vascular Disorders

Assessment of the Cardiac System

Management of Clients with Structural Cardiac Disorders

Management of Clients with Functional Cardiac Disorders

Management of Clients with Dysrhythmias

Management of Clients with Myocardial Infarction

Assessment of the Respiratory System

Management of Clients with Upper Airway Disorders

Management of Clients with Lower Airway and Pulmonary Vessel