Hyperthyroidism

15 Questions | Total Attempts: 989

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Hyperthyroidism

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Questions and Answers
  • 1. 
    A patient is admitted to the medical unit with possible Graves’ disease (hyperthyroidism). Which assessment finding supports this diagnosis?  
    • A. 

      Periorbital edema

    • B. 

      Bradycardia

    • C. 

      Exophthalmos

    • D. 

      Hoarse voice

  • 2. 
    Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism?  
    • A. 

      Increased and rapid heart rate

    • B. 

      Decrease systolic blood pressure

    • C. 

      Increased respiratory rate

    • D. 

      Decreased oral temperature

  • 3. 
    For the patient with hyperthyroidism, what intervention should you delegate to the experienced certified nursing assistant?    
    • A. 

      Instruct the patient to report palpitations, dyspnea, vertigo, pr chest pain.

    • B. 

      Check the apical pulse, blood pressure, and temperature every 4 hours.

    • C. 

      Draw blood for thyroid-stimulating hormone, T3, and T4 levels.

    • D. 

      Explain the side effects of propylthiouracil (PTU) to the patient.

  • 4. 
    A client with hyperthyroidism is taking lithium carbonate to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client’s medication?  
    • A. 

      The client complains of blurred vision.

    • B. 

      The client complains of increased thirst and increased urination.

    • C. 

      The client complains of increased weight gain over the past year.

    • D. 

      The client complains of ringing in the ears.

  • 5. 
    Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
    • A. 

      Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess

    • B. 

      Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing

    • C. 

      Body image disturbance related to weight gain and edema

    • D. 

      Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

  • 6. 
    Matilda, with hyperthyroidism is to receive Lugol’s iodine solution before a subtotal thyroidectomy is performed. The nurse is aware that this medication is given to:    
    • A. 

      Decrease the total basal metabolic rate.

    • B. 

      Maintain the function of the parathyroid glands.

    • C. 

      Block the formation of thyroxine by the thyroid gland.

    • D. 

      Decrease the size and vascularity of the thyroid gland.

  • 7. 
     The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis?
    • A. 

      No increase in the thyroid-stimulating hormone (TSH) level after 30 minutes during the TSH stimulation test

    • B. 

      A decreased TSH level

    • C. 

      An increase in the TSH level after 30 minutes during the TSH stimulation test

    • D. 

      Below-normal levels of serum triiodothyronine (T3) and serum thyroxine (T4) as detected by radioimmunoassay

  • 8. 
    Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to:
    • A. 

      Decrease the risk of agranulocytosis postoperatively.

    • B. 

      Prevent tetany while the client is under general anesthesia.

    • C. 

      Reduce the size and vascularity of the thyroid and prevent hemorrhage.

    • D. 

      Potentiate the effect of the other preoperative medication so less medicine can be given while the client is under anesthesia.

  • 9. 
    A 38 year old woman returns from a subtotal thryroidectomy for the treatment of hyperthyroidism. Upon assessment, the immediate priority that the nurse would include is: 
    • A. 

      Assess for pain

    • B. 

      Assess for neurological status

    • C. 

      Assess fluid volume status

    • D. 

      Assess for respiratory distress

  • 10. 
    Untreated hyperthyroidism during pregnancy may result in all of the following except:
    • A. 

      Premature birth and miscarriage

    • B. 

      Low birthweight

    • C. 

      Autism

    • D. 

      Preeclampsia

  • 11. 
    Which nursing diagnosis takes highest priority for a client with hyperthyroidism?
    • A. 

      Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess

    • B. 

      Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing

    • C. 

      Body image disturbance related to weight gain and edema

    • D. 

      Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

  • 12. 
    A client is being returned after subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client’s bedside?
    • A. 

      Orange juice and hard candy

    • B. 

      Tracheostomy set

    • C. 

      Cardiac monitor and oxygen tank

    • D. 

      Indwelling catheter tray

  • 13. 
    What are the functions of T3 and T4?
    • A. 

      Retention of salt and water

    • B. 

      Maintenance of blood sugar

    • C. 

      Maintenance of blood pressure

    • D. 

      Regulation of energy production

  • 14. 
    Which of the following nursing assessment is the most important in the patient with hyperthyroidism and risk for thyrotoxic crisis or thyroid storm?
    • A. 

      Intake and output

    • B. 

      Heart sounds

    • C. 

      Bowel sounds

    • D. 

      Vital signs

  • 15. 
    Which medication will the nurse have available for emergency treatment of tetany in the client who has had thyroidectomy?
    • A. 

      Calcium chloride

    • B. 

      Potassium chloride

    • C. 

      Magnesium chloride

    • D. 

      Sodium bicarbonate

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