Show:
signs & symptoms
Diagnostics
Post Thyroidectomy Care
Medications
100
when someone has hyperthyroidism, the nurse expects an intolerance to this specific environment
What is Heat
100
When testing a client for hyperthyroidism, you know the blood test measures the level of these two things
What is Thyroxine and TSH
100
The nurse knows this is the correct position for post thyroidectomy patients to be placed in.
What is low semi-fowlers (HOB 30 degrees)
100
Side effects of this medication include: Leukopenia, fever, rash, sore throat, and jaundice.
What is Carbimazole
200
A patient comes into the clinic showing s/s of hyperthyroidism, you expect these muscle and GI changes to be occurring.
What is tremors and diarrhea
200
When analyzing a blood test for a client being tested for hyperthyroidism, you know it will show this type of level for thyroxine and TSH.
What is elevated thyroxine and low TSH
200
The nurse should observe the post thyroidectomy patient for this change related to speech.
What is hoarsness
200
Side effects for this medication include: Nausea, vomiting, metallic taste and rash
What is Lugol's iodine solution (aka SSKI)
300
A patient comes into the clinic with hyperthyroidism, this is a change you expect to find related to their heart rate.
What is Tachycardia
300
A client is undergoing a radio iodine uptake test for their suspected hyperthyroidism. If the radio iodine uptake is low, the nurse knows to suspect this as the cause.
What is thyroiditis rationale: If you have hyperthyroidism and your radio iodine uptake is low, this indicates that the thyroxine stored in the gland is leaking into the bloodstream and indicates you may have thyroiditis. http://www.mayoclinic.org/diseases-conditions/hyperthyroidism/basics/tests-diagnosis/con-20020986
300
After a thyroidectomy patients are at risk for a particular electrolyte imbalance. Because of this the nurse would be sure to have this IV medication/electrolyte replacement readily available for these patients.
What is calcium (calcium gluconate or calcium chloride)
300
Side effects of this medication include: feeling of fullness in the neck, metallic taste, leuemia
What is Radioactive iodine
400
As a nurse, you know to expect what changes in the face of a client with hyperthyroidism? a. sunken eyes b. bulging eyes and facial flushing c. facial and eyelid swelling d. none of the above
What is b. bulging eyes and facial flushing
400
A client is undergoing a radio iodine uptake test, it important to tell the client the intervals that will be checked. The nurse knows these are the intervals for checking uptake. a. 4, 8, and 12 hrs. b. 2, 4, and 6 hrs. c. 2, 6, or 24 hrs and possibly at all those times d. 3, 6, or 9 hrs and possibly at al those times
What is 2,6, or 24 hours (possibly all these times) rationale: You'll be checked after two, six or 24 hours — and sometimes after all three time periods — to determine how much iodine your thyroid gland has absorbed http://www.mayoclinic.org/diseases-conditions/hyperthyroidism/basics/tests-diagnosis/con-20020986
400
Post thyroidectomy patients are at risk for developing this condition, s/s include: acute HF, pulmonary edema, delirium, increased temperature and pulse, systolic HTN, altered clotting, seizures, abdominal pain, and diarrhea
What is Thyroid storm
400
Nursing considerations for this medication are: not indicated women of childbearing age, caution with urine, vomit, and saliva, encourage fluids
What is Radioactive iodine (radioactive precautions)
500
A client with uncontrolled hyperthyroidism expresses concerns about problems with her menstrual cycle. As a nurse you can tell her to expect? a. menorrhagia b. spotting between cycles c. foul smelling discharge during her cycle d. amenorrhea
What is d. Amenorrhea (absence of period)
500
A client is to undergo a thyroid scan. It is important for the nurse to educate the patient about this test and what to expect. The nurse makes sure she tells the client what? a. this test will be short and easy b. you will sit at 90 degrees with your feet on the floor c. you may experience neck discomfort and will have exposure to some radiation d. you will lie flat with your tin tucked
What is c. you may experience neck discomfort and will have exposure to some radiation rationale: You then lie on a table with your head stretched backward You may have some neck discomfort with this test, and you'll be exposed to a small amount of radiation. http://www.mayoclinic.org/diseases-conditions/hyperthyroidism/basics/tests-diagnosis/con-20020986
500
The nurse caring for a patient post thyroidectomy vigilantly and frequently assess for this very serious complication by assessing back of neck and upper chest.
What is hemorrhage
500
Nursing considerations for this medication are: it is only effective for a short time, it should be given after meals and diluted in water, milk, or fruit juice, it stains teeth, give it through a straw, it must be started 2 weeks prior to surgery, it decreases hormone release.
What is Lugo's iodine solution (aka SSKI)