Hodpodge
The patient is prescribed Tapazole (methimazole), what is the most important teaching for the nurse to provide about taking the medication?
Must be on a strict schedule
These symptoms are indicative of what disorder:
Tremulousness, exertional dyspnea, scanty menstruation, increased thirst and urination
Hyperthyroidism
Patient with hyperthyroidism exhibits symptoms of anxiety, nervousness and agitation-how should the nurse manage the environmental stimuli?
Keep it to a minimum
A pituitary adenoma antagonizes insulin, what imbalance would result?
Hyperglycemia
This disorder is a result of insufficiencies of the mineralcortocoids and glucocorticoids
Addison Disease
What additional precautions in addition to standard would you take with a patient that is having ablation therapy with radioactive iodine?
Radioactive Precautions-especially with things like syringes and bedpans
The nurse notes that the patient that has arrived at the clinic has a gross enlargement of the anterior neck. What dx will they likely have and what deficiency would the patient most likely have?
Goiter and Iodine Def.
The nurse will need to watch for these 2 symptoms of a thyroid crisis when the patient is post-op for a thyroidectomy
Extreme temperature elevation and rapid pulse rate
The UAP has just provided the pt that is post hypophysectomy with tissues to blow their nose. Which intervention is appropriate for the nurse to do?
Intervene-blowing nose is contraindicated.
because the usual approach is transsphenoidal via the nose or junction of gums and upper lip
Which procedure allows continued production and release of thyroid hormones from the remainder of the gland?
Subtotal thyroidectomy
These findings are associated with what disorder: Anorexia, increased serum calcium levels, dehydration, confusion, hypertension, arrhythmias
Hyperparathyroidism
These symptoms are indicative of what disorder: Increased HR
Increased appetite
Emotional instability
Hyperactivity with increasing sense of fatigue
Hyperthyroidism
Which position would the PACU have a patient in following a hypophysectomy?
Semi-Fowler
The patient presents with acromegaly, muscle weakness, and osteoporosis. The pcp will order computed tomography to determine if the patient has a____
Benign pituitary adenoma
The patient is 12 hours post-op total thyroidectomy. C/o muscle cramps, nursing assessment determines a positive Chvostek sign-which complication does the patient likely have?
Hypoparathyroidism
The patient's family member confides that the extreme mood swings due to the dx of Grave disease is extremely frustrating. The patient is being prescribed Methimazole (Tapazole)-what class of medication is this and what can you tell the family about the medication and mood swings?
Antithyroid
It will help regulate mood swings after a few weeks
The patient presents with SIADH (symptoms of inappropriate antidiuretic hormone). The nurse will educate the patient on which tests that will be completed for the diagnosis to be made?
Urine osmolality, Serum osmolality,
Blood urea nitrogen (BUN)
Hemoglobin and hematocrit
Creatinine clearance
The patient is 3 days post-op hypophysectomy and begins to have 3200mL of urine output q shift and is c/o thirst and dry mouth. What problem should the nurse suspect?
Diabetes Insipidus (DI)
The patient with Central Diabetes Insipidus (DI) will likely have a surgical history with this type of tumor removed
Brain
These signs are all symptoms of what disorder?
Gigantism in children
Acromegaly in adults
Muscle weakness
Joint pain
Benign pituitary adenoma
The nurse is doing preoperative education for the patient and states that pre-op meds will be given 2 weeks prior to surgery to reduce the vascularity of the gland. What surgery is the nurse preparing the patient for?
thyroidectomy
The patient has Diabetes Insipidus and severe dehydration, what electrolyte imbalance should the nurse expect?
Hypernatremia
due to abnormally large unreplaced water losses
Why would the nurse dilute potassium iodide and use a straw for the patient?
Iodine preparations should be given well diluted and administered through a straw, because they can stain the teeth, may taste metallic
The patient has a tumor in the pituitary gland and has planned these interventions: assist with ADLs, record accurate urine output, daily weights, assess for LOC d/t the tumor causing this syndrome _____
SIADH-syndrome of inappropriate secretion of antidiuretic hormone
The nurse provides these postoperative instructions to the patient: a drip pad will be placed under your nose, avoid brushing your teeth, breathe through your mouth, avoid blowing your nose...which procedure is the nurse providing education for?
Hypophysectomy