When assessing a patient with hypothyroidism, you would expect to find?
What is fatigue, weakness, muscle aches, constipation, depression, numbness and tingling in the fingers, and cold intolerance.
100
Your patient has hyperthyroidism, what would you want to monitor for closely?
What is thyroid storm?
100
You are giving your addisons patient discharge teaching for their new hormone replacement medication. You need to instruct the patient that too low a dose may be indicated by?
What is dizziness on standing?
100
Your ED patient is complaining of vomiting and diarrhea and has a history of adrenal insufficiency. You instruct patient to?
What is increase sodium intake until the GI symptoms improve?
100
12 hours post op your thyroidectomy patient develops stridor. What is your priority intervention?
What is call for emergency assistance?
200
Your ED patient is complaining of hair loss, brittle hair and nails, constipation, and has a dull blank expression with facial and eyelid edema.
What is you suspect hypothyroidism?
200
When ordering a diet for your patient with hyperthyroidism, you know they need?
What is small freq meals that are high in protein and calories?
200
Your ED patient complains of muscle weakness, hypotension, hypoglycemia and fatigue. Only takes prednisone, but not sure why so she quit. You suspect the patient is suffering from?
What is Addisons disease?
200
Your patient has hypermagnesemia. What should you assess for?
What is shallow respirations?
200
Post op for a parathyroidectomy. What medication is kept at the bedside for emergencies?
What is calcium gluconate?
300
You are discharging your patient with a diagnosis of hypothyroid. What are the three primary things you should teach this patient?
What is weight reduction, consume high fiber diet with plenty of fluids to decrease constipation, and to consume a low calorie diet.
300
Your patient reports diarrhea, weight loss, and intolerance to heat. During assessment you note flinger clubbing, fine hand tremors, and tachycardia.
What is you suspect hyperthyroidism.
300
Your patient is experiencing an Addisons crisis. What medication should you administer immediately?
What is vasopressors.
300
During assessment of your patient with hypophosphatemia, you notice the hand grip has diminished since last assessment. What is your primary intervention?
What is assess respiratory status immediately?
300
Your patient has SIADH. You would expect to see plasma volumes?
What is see plasma volumes increase, and plasma osmolarity decrease?
400
The most common cause of hypothyroid is?
What is autoimmune thyroiditis (Hashimoto's thyroiditis)?
400
Discharge teaching for your patient with hyperthyroidism should include?
What is consume freq small meals, increase fluids, high calorie, high protein foods, and to avoid caffeine and ETOH.
400
Your patient is experiencing an addisons crisis. What characteristics might you find?
What is loss of aldosterone, hypernatremia, and muscle weakness.
400
Hypersecretion of growth hormone causes _________ in children and __________ in adults.
What is gigantism and acromegaly
400
Your patient has hyperpituitary / acromegaly. Complications that could occur include?
What is increased ICP, diabetes insipidus, and meningitis.
500
Your patient with a history of hypothyroidism, is experiencing hypothermia, hypoventilation, bradycardia and hypotension. You need to take action to prevent?
What is myxedema coma?
500
Which nursing dx takes priority for a female patient with hyperthyroidism?
risk for imbalanced nutrition
risk for impaired skin integrity
body image disturbance
imbalanced nutrition
What is imbalanced nutrition?
500
What would be a a nursing priority for a patient newly DX with addisons?
teach medication therapy
avoid activity
encourage wearing med alert tag
ensure hydration status
What is ensure hydration status?
500
In the client with Cushing's syndrome you would expect to find?
What is deposits of adipose tissue in the trunk and dorsocervical area?
500
During assessment of your post op patient who had a thyroidectomy, you note twitching and tingling, along with numbness in the fingers, toes, and mouth areas. What complication do you suspect?