Hypothyroidism By Rnpedia

31 Questions | Attempts: 1701

SettingsSettingsSettings
Hypothyroidism By Rnpedia - Quiz

Choose the letter of the correct answers. Goodluck. :-)


Questions and Answers
  • 1. 
    Nurse Oliver should expect a client with hypothyroidism to report which health concerns?
    • A. 

      Increased appetite and weight loss

    • B. 

      Puffiness of the face and hands

    • C. 

      Nervousness and tremors

    • D. 

      Thyroid gland swelling

  • 2. 
    A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?  
    • A. 

      Dysuria

    • B. 

      Leg cramps

    • C. 

      Tachycardia

    • D. 

      Blurred vision

  • 3. 
    An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of:
    • A. 

      Thyroid storm.

    • B. 

      Cretinism.

    • C. 

      Myxedema coma.

    • D. 

      Hashimoto’s thyroiditis.

  • 4. 
      The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:    
    • A. 

      The medication will be needed only during times of rapid growth.

    • B. 

      The medication will be needed throughout the child’s lifetime.

    • C. 

      The medication schedule can be arranged to allow for drug holidays.

    • D. 

      The medication is given one time daily every other day.

  • 5. 
     A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:  
    • A. 

      Uses an electric blanket at night

    • B. 

      Dresses in extra layers of clothing

    • C. 

      Applies a heating pad to her feet

    • D. 

      Takes a hot bath morning and evening

  • 6. 
     A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:
    • A. 

      Slow pulse rate, weight loss, diarrhea, and cardiac failure

    • B. 

      Weight gain, lethargy, slowed speech, and decreased respiratory rate

    • C. 

      Rapid pulse, constipation, and bulging eyes

    • D. 

      Decreased body temperature, weight loss, and increased respirations

  • 7. 
    After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribes levothyroxine (Levothroid), 25 mcg P.O. daily. For which condition is levothyroxine the preferred agent?
    • A. 

      Primary hypothyroidism

    • B. 

      Graves’ disease

    • C. 

      Thyrotoxicosis

    • D. 

      Euthyroidism

  • 8. 
    A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that: 
    • A. 

      There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    • B. 

      Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    • C. 

      It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    • D. 

      Fetal growth is arrested if thyroid medication is continued during pregnancy.

  • 9. 
    Which of the following potentially serious complications could occur with therapy for hypothyroidism? 
    • A. 

      Acute hemolytic reaction.

    • B. 

      Angina or cardiac arrhythmia.

    • C. 

      Retinopathy.

    • D. 

      Thrombocytopenia.

  • 10. 
    A 58 year old woman has newly diagnosed with hypothyroidism. The nurse is aware that the signs and symptoms of hypothyroidism include:
    • A. 

      Diarrhea

    • B. 

      Vomiting

    • C. 

      Tachycardia

    • D. 

      Weight gain

  • 11. 
    On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. The nurse would know that the patient understands the teaching when she states she should notify the MD if she develops: 
    • A. 

      Intolerance to heat

    • B. 

      Dry skin and fatigue

    • C. 

      Progressive weight gain

    • D. 

      Insomnia and excitability

  • 12. 
    A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority? 
    • A. 

      Impaired physical mobility related to decreased endurance

    • B. 

      Hypothermia r/t decreased metabolic rate

    • C. 

      Disturbed thought processes r/t interstitial edema

    • D. 

      Decreased cardiac output r/t bradycardia

  • 13. 
    A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:  
    • A. 

      Should be taken in the morning

    • B. 

      May decrease the client’s energy level

    • C. 

      Must be stored in a dark container

    • D. 

      Will decrease the client’s heart rate

  • 14. 
    A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize 
    • A. 

      They can expect the child will be mentally retarded

    • B. 

      Administration of thyroid hormone will prevent problems

    • C. 

      This rare problem is always hereditary

    • D. 

      Physical growth/development will be delayed

  • 15. 
    A 3-month-old client is in the pediatric unit. During assessment, the nurse is suspecting that the baby may have hypothyroidism when mother states that her baby does not: 
    • A. 

      Sit up.

    • B. 

      Pick up and hold a rattle.

    • C. 

      Roll over.

    • D. 

      Hold the head up.

  • 16. 
    T3 and T4 are similar, but different produced in equal amounts?
    • A. 

      True

    • B. 

      False

  • 17. 
    T3 and T4 are produced in which type of cell?
    • A. 

      Follicle

    • B. 

      Squamous

    • C. 

      Epithelial

    • D. 

      Glandular

  • 18. 
    What does tyrosine combine with to make T3 and T4?
    • A. 

      Serum K

    • B. 

      Serum Na

    • C. 

      Serum Iodine

    • D. 

      Serum Phosphorus

  • 19. 
    A nurse understands calcitonin and parathormone when the nurse states:
    • A. 

      They work separately on calcium balance.

    • B. 

      They work together for blood clotting.

    • C. 

      They work together on bone growth.

    • D. 

      Calcitonin works on cellular function while parathormone works on neuromuscular function.

  • 20. 
    A nurse gets back results on a pt who may have hypothyroidism.  What lab values might the nurse expect?
    • A. 

      Decreased T3 and Increased T4

    • B. 

      Increased TSH and Increased T3 and T4

    • C. 

      Increased TSH and decreased T3 and T4

    • D. 

      Increased T3 and Decreased T4

  • 21. 
    A nurse gets back results on a pt who may have hyperthyroidism.  What lab values might the nurse expect?
    • A. 

      Decreased T3 and Increased T4

    • B. 

      Decreased TSH and Increased T3 and T4

    • C. 

      Increased TSH and decreased T3 and T4

    • D. 

      Increased T3 and Decreased T4

  • 22. 
    A pt is given radioactive iodine for a thyroid scan.  How often are the tests taken?
    • A. 

      One hour after ingestion

    • B. 

      4-8-24 hours

    • C. 

      2-4-24 hours

    • D. 

      2-6-24 hours

  • 23. 
    Thyrotoxicosis is understood when the nurse states:
    • A. 

      Hypermetabolism from decrease in T3 and T4.

    • B. 

      Hypometabolism from decrease in T3 and T4.

    • C. 

      Hypermetabolism from increase in T3 and T4.

    • D. 

      Hypometabolism from increase in T3 and T4.

  • 24. 
    Mrs. Gilmour is complaining of being hot all the time, sweating, being thirsty, and losing hair.  What could her symptoms indicate?
    • A. 

      Hypothyroidsim

    • B. 

      Hyperthyroidism

    • C. 

      Graves disease

  • 25. 
    Michael comes into the ED.  His HR is 150 and has a fever of 104.5.  He is confused and anxious. What could be Michael's problem?
    • A. 

      Thyroid infection.

    • B. 

      Thyroid Fire

    • C. 

      Thyroid Storm

    • D. 

      Thyroid Shut Down.

Back to Top Back to top
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.