Pathophysiology
Which hormone is released by the anterior pituitary to stimulate the thyroid?
Thyroid Stimulating Hormone (TSH)
Which temperature related symptom is seen in hyperthyroidism?
Heat Intolerance
What happens to TSH in Graves disease?
Decreased
How do beta blockers help with symptoms of hyperthyroidism?
Reduce fast heart rate and tremors
What is the priority when a client has stridor post-thyroidectomy?
Maintain airway
Hyperthyroidism results in which metabolic state?
Hypermetabolic
Which GI symptom is expected?
Diarrhea
Which hormones are elevated in hyperthyroidism?
T3 and T4
How does methimazole work?
Blocks thyroid hormone production to inhibits synthesis of T3/T4
Why is aspirin avoided in thyroid storm?
Increases free T3/T4 levels
Which nutrient is required for thyroid hormone production?
Iodine
What causes exophthalmos in Graves disease?
Fat and muscle buildup behind the eye
Which antibody is elevated in Graves disease?
Thyrotropin receptor antibodies
Which statement from a client receiving radioactive iodine therapy indicates understanding:
A. This treatment makes my thyroid work faster, B. I may need lifelong thyroid hormone replacement, C. I will feel better immediately, D. This treatment has no side effects
B
I may need lifelong thyroid hormone replacement
A long term complication of untreated hyperthyroidism is:
A. Kidney stones, B. Osteoporosis, C. Liver Failure, D. Anemia
B
Osteoporosis
Where should a nurse expected to find exophthalmos?
A. Top of head, B. Over right/left eye, C. Over the heart
B
Over the right/left eye
What is one cardiovascular symptom of hyperthyroidism?
Tachycardia/ Palpitations
What diagnostic test measures thyroid uptake of radioactive iodine?
Thyroid Scan
A nurse is providing instructions for the new prescription of propranolol, what information should be included?
A. An adverse effect is jaundice, B. Take your pulse before each dose, C. The purpose is to decrease your production of thyroid hormone, D. You should stop taking this medication if you have a sore throat
B
Take your pulse before each dose
Propranolol can cause bradycardia
A client with hyperthyroidism reports palpitations and irregular heart beat. What complication is expected?
A. Hypotension, B. A-fib, C. Bradycardia, D. Heart block
B
A-fib
The hypermetabolic state can cause increased and irregular HR
What is the term the thyroid is functioning appropriately?
Euthyroid
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which should be included: (More than one answer)
A. Anorexia, B. Heat Intolerance, C. Constipation, D. Palpitations, E. Weight loss, F. Bradycardia
B, D, E
Heat intolerance, Palpitations, and Weight loss
A patient is getting evaluated for Graves' disease, which lab result is expected?
A. Decreased thyrotropin receptor antibodies, B. Decreased TSH, C. Decreased free thyroxine index, D. Decreased triiodothyronine
B
Decreased TSH
The pituitary gland decreased TSH when thyroid hormones are elevated
A nurse is preparing post-op care following a thyroidectomy, which of the following should the nurse have available? (More than one answer)
A. Suction equipment, B. Humidified Oxygen, C. Flashlight, D. Tracheostomy tray, E. Chest tube tray
A, B, D
Suction equipment, Humidified oxygen, and a tracheostomy tray
A nurse is assessing a client 12 hr post-op following a thyroidectomy. Which finding could be indicative of a thyroid crisis? (More than one answer)
A. Bradycardia, B. Hypothermia, C. Dyspnea, D. Abdominal pain, E. Mental Confusion
C, D, E
Dyspnea, Abdominal pain, and Mental Confusion