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Mumbo Jumbo #2
HYPERthyroidism
PARAthyroid DISORDERS
Insulin...OH MY! *__*
100

This life-threatening complication is most commonly associated with Type 1 diabetes.

What is diabetic ketoacidosis (DKA)?

100

This is the most common worldwide cause of goiter.

What is iodine deficiency?

100

This autoimmune disorder is the most common cause of hyperthyroidism.

What is Graves’ disease?

100

The parathyroid hormone (PTH) regulates these electrolytes.

What is calcium and phosphorus 

100

This insulin type begins working in about 15 minutes and is used to control post-meal glucose spikes.

What is rapid-acting insulin (lispro, aspart, glulisine)?

200

This electrolyte imbalance is a major risk during IV insulin therapy.

What is hypokalemia?

200

This insulin is the only type that can be given IV.

What is regular insulin?

200

These assessment findings best reflects hyperthyroidism (list minimum of 4)

What is...

  • Intolerance, Increased sweating, shakiness/tremors, anxiety/ nervousness, unexplained weight loss, heat sensitivity, fatigue, red/dry/swollen/ bulging eyes, rapid heart rate, more frequent bowel movements.

 

200

This calcium imbalance is seen in hypoparathyroidism.

What is hypocalcemia?

200

This insulin should be administered 30–60 minutes before meals due to its onset time.

What is regular (short-acting) insulin?

300

This severe complication is characterized by blood glucose levels >600 mg/dL and profound dehydration.

What is Hyperosmolar Hyperglycemic State (HHS)?

300

Which symptom would concern the RN most in a patient with a large goiter?

What is difficulty breathing or swallowing?

300

A patient with hyperthyroidism is most likely to exhibit which cardiovascular change?

What is tachycardia or palpitations?

300

Muscle cramps, spasms (tetany), tingling in fingers/toes, seizures are common symptoms for this disorder?

What is hypoparathyroidism?

300

This insulin type has a peak between 4–12 hours, placing the patient at higher risk for hypoglycemia overnight.

What is NPH (intermediate-acting) insulin?

400

An unconscious patient with hypoglycemia has no IV access. What should the RN administer?

What is glucagon?

400

A patient with myxedema coma presents with hypothermia and bradycardia. What is the RN’s priority? (list 3: 1 of the 3 must be a medication)


What is... 

  • IV levothyroxine, airway support, warming, IV fluids


400

Which medication does the RN anticipate administering to control heart rate and reduce sympathetic symptoms in hyperthyroidism?

What are beta-blockers (e.g., propranolol)?

400

Definite treatment for this disorder includes surgical removal of the overactive gland.

What is Hyperparathyroidism 

400

This insulin provides steady basal coverage with no pronounced peak, reducing hypoglycemia risk.

What is long-acting insulin (glargine or detemir)?

500

A patient with Type 2 diabetes is confused, severely dehydrated, and hyperglycemic. What is the priority RN intervention?

What is aggressive IV fluid replacement?

500

A patient presents with visible neck swelling and hoarseness. What is the RN’s priority assessment?

What is airway patency?

500

A patient presents with hyperthermia, severe tachycardia, agitation, diarrhea, and hypertension progressing to hypotension. What condition does the RN suspect?

What is thyroid storm?

500

A post-thyroidectomy patient reports tingling around the lips and fingers. What lab value should the RN assess immediately?

What is serum calcium?

500

The RN administers NPH insulin at 0730. During which time frame should the nurse most closely monitor for hypoglycemia?

What is between late morning and early evening (4–12 hours after administration)?