What is autoimmune thyroiditis (Hashimoto's disease).
100
A priority nursing diagnosis when preparing a care plan for a patient with SIADH is?
What is excessive fluid volume.
100
Life threatening thyroid storm is usually abrupt and precipitated by?
What is stress, injury, infection, surgery, pregnancy, tooth extraction, and even vigorous palpation of the thyroid.
100
What is one of the most important and freq occurring complications of hyperparathyroidism?
What is kidney stones.
100
A course of corticosteroids of 2 weeks duration can supress the adrenal cortex for how long?
What is up to 1 yr.
200
When administering thyroid hormone for hypothyroidism you need to monitor for?
What is angina?
200
What is excessive secretion of ADH resulting in fluid retention?
What do the letters stand for?
What is SIADH
What is syndrome of inappropriate antidiuretic hormone.
200
Patient presents to ER in a thyroid crisis. The appropriate medication for this condition is?
What is intravenous dextrous fluids, hypothermia measures, and oxygen therapy.
200
What activity level would you expect the MD to order for a patient with hyperparathyroidism?
What is ambulation and activity as tolerated?
200
When teaching your patient about corticosteroid therapy and side effects you need to include?
What is patient is at a increased risk for developing infection.
300
Working at a walk in clinic, you recognize that what population is at highest risk for developing hypothyroidism?
What is 45 yr old female
300
Your patient who has SIADH has specific gravities ordered every 4 hours. What does this test detect?
What is fluid volume status?
300
What S/S would you expect to see when your patient is experiencing a thyroid storm?
What is heart rate 140 beats/min, temp 39 degree C, and confusion.
300
A recommened breakfast for a patient with hyperparathyroidism would be?
What is pork sausage and cranberry juice.
300
You need to teach your patient to take their corticosteroid medication at what time to achieve consistancy with the bodys natural secretion of cortisol?
What is early morning between 7-8 am.
400
The preferred medication for treating hypothyroidism is?
What is Synthroid.
400
You would expect the MD to order what intervention for the patient with SIADH?
What is fluid restriction, and monitor fluid intake and output.
400
What are some S/S of thyroid storm?
What is delirium or somnolence, dyspnea, chest pain, and hyperpyrexia.
400
Diagnosis of hyperparathyroidism can be established by what signs?
What is a serum calcium level of 12 mg/dL, an elevated level of parathyroid hormone, and bone demineralization seen on x-rays.
400
You need to monitor for what unacceptable side effect for corticosteroid therapy?
What is glaucoma?
500
Patient who has long standing hypothyroidism is at risk for developing?
What is Coronary artery disease.
500
What do you need to monitor closely with patients who have SIADH besides the fluid status?
What is neurological status.
500
Pharmacotherapy for thyroid storm includes the administration of?
What is acetaminophen, iodine, and propylthiouracil.
500
The patient has returned to the unit after having a parathyroidectomy. What drug do you need to keep at the bedside?
What is calcium gluconate.
500
What would you teach your patient on corticosteroid therapy to prevent adrenal insufficiency?
What is always have enough medication on hand to avoid running out.