hyperThyroidism
What test needs to be done before a female patient is administered radioactive iodine?
What is a pregnancy test?
The neck does not need to be supported post op. True or False
Fales
Name possible risk factors to develop SIADH?
What are malignant tumors, head injury, meningitis, and certain medications( barbiturates, diuretics, SSRI's)
What are risk factors for developing Diabetes insipidus?
Head injury, tumor or lesion, surgery or radiation near or around the pituitary, or taking lithium carbonate.
Do patients experiencing hypothyroidism have weight gain, lethargy, hair loss, and thick, brittle nails?
true statement
Would you expect a patient with hyperthyroidism to experience nervousness, irritability, muscle weakness, and weight loss?
True, the patient will experience these symptoms.
Name the best position for the patient post op.
What is semi fowlers?
List early manifestations of SAIDH?
What are headache, weakness, anorexia, muscle cramps, and weight gain ( without edema)?
What amount of urine output would the nurse expect for a patient with diabetes insipidus?
What is 3 to 20 liters of urine per day?
What type of laxatives should be avoided? Bonus- why?
What are fiber laxatives?
becuase they interfere with the absorption of levothyroxine.
The patient is on propylthiouracil. Why are we monitoring the CBC?
What are leukopenia and thrombocytopenia?
How does the nurse check for laryngeal nerve damage post op?
What is asking the patient to speak as soon as they are awake from anesthesia every 2 hours?
What type of fluid should be used to flush enteral tubes?
What is 0.9 normal saline?
List potential assessment findings:
What is tachycardia, hypotension, loss or absence of skin turgor, dry mucous membranes, weak, poor peripheral pulses, decreased cognition, constipation, nocturia, fatigue, muscle weakness, dilute urine?
Why does the RN need to use caution when administering sedatives?
What is the risk for respiratory depression? If prescribed, the patient needs a lower dose.
Why would a patient be placed on a beta-blocker?
To treat sympathetic nervous system effects like tachycardia and palpitations.
What symptoms could indicate hypocalcemia?
What is perioral, extremity tingling, and muscle twitching?
The patient should be weighed daily. When should the patient notify the health care provider?
What is the weight gain of 1 kg ( 2.2 pounds)?
What client education should happen in diabetes insipidus?
What is weighed daily, eat a high-fiber diet, wear a medical alert wristband, and monitor I&O.
What symptoms should the patient report immediately?
What is chest pain or chest discomfort?
What medication should be avoided when the patient has discomfort or fever?
Salicylates are contraindicated. They release thyroxine and increase free thyroxine levels ( could cause thyroid storm).
Why does the patient receive iodine for 10-14 days before surgery?
The iodine decrease the size of the thyroid gland and prevent excessive bleeding?
What medications should not be taken at the same time with Demeclocycline?
The patient should not take calcium, iron, magnesium supplements, or antacids that contain aluminum.
What amount of weight gain should be reported to the health care provider?
What is a gain of 0.9 kg ( 2 pounds) in 24 hours?
When should levothyroxine be given?
On an empty stomach, ideally 30 to 60 minutes before breakfast.