S + S
What is loss?
This disorder is caused by consistently decreased secretion of T3 and T4, resulting in low hormone levels.
What is hypothyroidism?
The organ system that should be assessed first when caring for a patient with hypothyroidism.
What is the respiratory system?
Those with hypothyroidism may show signs of ___, so their cardiovascular system should be assessed.
What is heart failure?
Reduction in the conversion of carotene to vitamin A causes ____, which gives skin a yellow-orange tint.
What is hypercarotenemia?
This disorder may be experienced with excess hypothyroidism medication.
What is hyperthyroidism?
This term describes the fluid imbalance caused by uncorrected hypothyroidism.
What is hypervolemia?
If the patient enters respiratory distress, the nurse may be required to ___.
What is intubate?
Signs and symptoms of an underactive thyroid.
What are yellow-orange skin, puffy face, weight gain, and memory problems?
Myxedema.
What is severe hypothyroidism?
Dysfunction in the ____ gland causes secondary hypothyroidism through insufficient TSH secretion.
What is pituitary?
A nurse is meeting a new patient who has hypothyroidism. Which assessments can be performed by the nurse to determine whether her patient is retaining fluids?
1. I&O
2. Neurological
3. Daily weight
4. Palpate extremities for edema
5. Temperature
What are I&O, daily weight, and palpate extremities for edema?
A 29 year-old male was recently seen in the emergency room for dull facial expressions, slow speech, droopy eyelids, hand tingling, and confusion. His wife also mentioned that he has frequent muscle cramps but thought it was related to his recent weight gain. Upon reviewing the patient's blood panel, the nurse noticed his TSH level is 8.2 mIU/L. Which disorder does the nurse suspect?
Hyperthyroidism
Acute Renal Failure
Hypothyroidism
Stroke
What is hypothyroidism?
When the antibodies caused by this disease bind to the TSH receptor, there is an absence of the normal response of T3 and T4 synthesis and secretion.
What is Hashimoto's thyroiditis?
A nurse is caring for a client who has hypothyroidism; what is true about hypothyroidism? Select all that apply:
Keep the temperature between 70-75 degrees
This patient has low TH
This patient has high TH
This patient will show signs of Tachycardia
This patient will have signs of Bradycardia
What are keep the temperature between 70-75 degrees, this patient has low TH, and they will have signs of bradycardia?
Which nursing intervention should be included in the plan of care for the client diagnosed with hypothyroidism? Select all that apply:
1. Increase the amount of fiber in the diet.
2. Encourage a low-calorie, low-protein diet.
3. Decrease the client's fluid intake to 1L a day.
4. Eat high a ketogenic diet
What are increase the amount of fiber in diet, and decrease the client's fluid intake to 1L a day?