Which of the following are risk factors for hyperthyroidism?
Graves disease
Hashimoto thyroiditis
Iodine deficiency
Being male
Between 20 and 40 years of age
A woman who has Graves disease is having marital issues because she's been unable to get pregnant, despite repeated attempts at trying. She doesn't know why this is happening, but she feels like a failure of a wife. Which of the following would you explain to her?
"Hyperthyroidism can cause decreased fertility."
"Hyperthyroidism can cause menstrual irregularities."
"Hyperthyroidism can cause an increased risk for spontaneous abortion."
"Hyperthyroidism can cause hypertension and tachycardia."
What is the normal lab value for serum TSH?
0.35-5.5 mU/mL
Below 0.1 mcg/mL
5.5-6.5 mU/mL
4.5-11.5 mcg/dL
What is the normal lab value for serum T4?
80-200 ng/dL
7.35-7.45
What is the normal lab value for serum T3?
250-350 ng/dL
Which of the following statements indicate to you that your client needs further teaching about radioactive iodine therapy?
"I will see results in 6-8 weeks."
"I will not be under radiation precautions while I'm being treated."
"I need to measure my pulse rate following therapy, and tell the provider if it goes over 100 ."
"This type of treatment is fairly uncontrollable."
"I do not need to tell my doctor if I get pregnant."
When caring for patients with hyperthyroidism, which of the following is important for the client to understand?
How to provide self care
What diet he/she should follow
What symptoms to monitor for
When to call the provider
Importance of taking medications
Which of the following are appropriate interventions when caring for a patient with hyperthyroidism?
Regularly take vitals
Monitor the skin for redness or lesions
Teach the client to use artificial tears to moisten eyes.
Tell the client to weigh himself at the same time each day.
Encourage rest more than physical activity.
Collaborate with the dietician to create an appropriate high calorie diet.
Which of the following are the neurologic signs of hyperthyroidism?
Hand and eye tremors
Nervousness
Insomnia
Emotional lability
Increased reflexes
Hand and foot paresthesias
Memory impairment
Somnolence
Confusion
Slow speech
Which of the following are sensory signs of hypothyroidism?
Periorbital edema
Blurred vision
Photophobia
Lacrimination
Exophthalmos
Which of the following are the respiratory and cardiovascular signs of hyperthyroidism?
Dyspnea
Hypertension
Tachycardia
Palpations
Pleural effusion
Hypotension
Bradycardia
Enlarged heart
Anemia
Dysrhythmias
Which of the following are gastrointestinal signs of hypothyroidism?
Constipation
Nausea
Vomiting
Diarrhea
Abdominal pain
Which of the following are reproductive signs of hyperthyroidism?
Amenorrhea
Decreased fertility (females)
Decreased libido (males)
Impotence
Menorrhagia
Infertility (Female)
Which of the following are musculoskeletal signs of hyperthyroidism?
Muscle wasting
Weakness
Fatigue
Muscle stiffness
Which of the following are integumentary signs of hypothyroidism?
Hair loss
Brittle nails
Coarse, dry skin
Nonpitting edema
Fine, thin hair
Flushed, moist skin
Which of the following are metabolic signs of hyperthyroidism?
Hyperthermia
Diaphoresis
Hunger
Weight loss
Fluid volume deficit
Hypothermia
Anorexia
Weight gain
Systemic edema
Which of the following are appropriate interventions when dealing with a patient having a thyroid storm?
Decrease temperature with aspirin
Maintain a patent airway
Continually take pulse, temperature, and respirations.
Utilize cool sponge baths or ice packs to decrease the fever
Administer a beta-blocker
Which of the following are risk factors for hypothyroidism?
Treatment with lithium carbonate
Toxic multinodular goider
Family history of autoimuune conditions
Which of the following indicates that the patient with hypothyroidism understands what you've taught them?
"I should drink up to 2,000 mL a day "
"I should turn down the thermostat in my house."
"I should use hot water when I shower."
"I should use skin oils and lotions that contain alcohol."
Which of the following are appropriate nursing interventions for a patient with hypothyroidism?
Increase the temperature in the patient's room
Elevate the head of the patient's bed to 45 degrees
Encourage increased fiber intake.
Utilize pillows, pads, or sheepskin foam cushions for the patient's bed
