12903809
Description
Quiz by Olivia McRitchie, updated more than 1 year ago
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Created by Olivia McRitchie
about 6 years ago
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Question 1
Question
Which of the following are risk factors for hyperthyroidism?
Answer
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Graves disease
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Hashimoto thyroiditis
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Iodine deficiency
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Being male
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Between 20 and 40 years of age
Question 2
Question
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?
Answer
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"Hyperthyroidism can cause decreased fertility."
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"Hyperthyroidism can cause menstrual irregularities."
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"Hyperthyroidism can cause an increased risk for spontaneous abortion."
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"Hyperthyroidism can cause hypertension and tachycardia."
Question 3
Question
What is the normal lab value for serum TSH?
Answer
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0.35-5.5 mU/mL
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Below 0.1 mcg/mL
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5.5-6.5 mU/mL
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4.5-11.5 mcg/dL
Question 4
Question
What is the normal lab value for serum T4?
Answer
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80-200 ng/dL
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0.35-5.5 mU/mL
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4.5-11.5 mcg/dL
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7.35-7.45
Question 5
Question
What is the normal lab value for serum T3?
Answer
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0.35-5.5 mU/mL
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80-200 ng/dL
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4.5-11.5 mcg/dL
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250-350 ng/dL
Question 6
Question
Which of the following statements indicate to you that your client needs further teaching about radioactive iodine therapy?
Answer
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"I will see results in 6-8 weeks."
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"I will not be under radiation precautions while I'm being treated."
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"I need to measure my pulse rate following therapy, and tell the provider if it goes over 100 ."
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"This type of treatment is fairly uncontrollable."
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"I do not need to tell my doctor if I get pregnant."
Question 7
Question
When caring for patients with hyperthyroidism, which of the following is important for the client to understand?
Answer
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How to provide self care
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What diet he/she should follow
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What symptoms to monitor for
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When to call the provider
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Importance of taking medications
Question 8
Question
Which of the following are appropriate interventions when caring for a patient with hyperthyroidism?
Answer
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Regularly take vitals
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Monitor the skin for redness or lesions
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Teach the client to use artificial tears to moisten eyes.
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Tell the client to weigh himself at the same time each day.
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Encourage rest more than physical activity.
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Collaborate with the dietician to create an appropriate high calorie diet.
Question 9
Question
Which of the following are the neurologic signs of hyperthyroidism?
Answer
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Hand and eye tremors
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Nervousness
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Insomnia
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Emotional lability
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Increased reflexes
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Hand and foot paresthesias
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Memory impairment
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Somnolence
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Confusion
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Slow speech
Question 10
Question
Which of the following are sensory signs of hypothyroidism?
Answer
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Periorbital edema
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Blurred vision
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Photophobia
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Lacrimination
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Exophthalmos
Question 11
Question
Which of the following are the respiratory and cardiovascular signs of hyperthyroidism?
Answer
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Dyspnea
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Hypertension
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Tachycardia
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Palpations
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Pleural effusion
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Hypotension
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Bradycardia
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Enlarged heart
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Anemia
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Dysrhythmias
Question 12
Question
Which of the following are gastrointestinal signs of hypothyroidism?
Answer
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Constipation
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Nausea
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Vomiting
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Diarrhea
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Abdominal pain
Question 13
Question
Which of the following are reproductive signs of hyperthyroidism?
Answer
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Amenorrhea
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Decreased fertility (females)
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Decreased libido (males)
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Impotence
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Menorrhagia
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Infertility (Female)
Question 14
Question
Which of the following are musculoskeletal signs of hyperthyroidism?
Answer
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Muscle wasting
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Weakness
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Fatigue
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Muscle stiffness
Question 15
Question
Which of the following are integumentary signs of hypothyroidism?
Answer
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Hair loss
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Brittle nails
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Coarse, dry skin
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Nonpitting edema
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Fine, thin hair
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Flushed, moist skin
Question 16
Question
Which of the following are metabolic signs of hyperthyroidism?
Answer
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Hyperthermia
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Diaphoresis
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Hunger
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Weight loss
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Fluid volume deficit
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Hypothermia
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Anorexia
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Weight gain
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Systemic edema
Question 17
Question
Which of the following are appropriate interventions when dealing with a patient having a thyroid storm?
Answer
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Decrease temperature with aspirin
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Maintain a patent airway
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Continually take pulse, temperature, and respirations.
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Utilize cool sponge baths or ice packs to decrease the fever
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Administer a beta-blocker
Question 18
Question
Which of the following are risk factors for hypothyroidism?
Answer
-
Hashimoto thyroiditis
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Treatment with lithium carbonate
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Graves disease
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Toxic multinodular goider
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Family history of autoimuune conditions
Question 19
Question
Which of the following indicates that the patient with hypothyroidism understands what you've taught them?
Answer
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"I should drink up to 2,000 mL a day "
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"I should turn down the thermostat in my house."
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"I should use hot water when I shower."
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"I should use skin oils and lotions that contain alcohol."
Question 20
Question
Which of the following are appropriate nursing interventions for a patient with hypothyroidism?
Answer
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Increase the temperature in the patient's room
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Elevate the head of the patient's bed to 45 degrees
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Encourage increased fiber intake.
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Utilize pillows, pads, or sheepskin foam cushions for the patient's bed
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