A patient is being treated with propylthiouracil (PTU) for hyperthyroidism, pending thyroidectomy. While the patient is taking this drug, what symptoms will the nurse teach the patient to report to the health care provider? Show
1. Tinnitus, altered taste, thickened saliva Answer: 3 Rationale: Low-grade fever, chills, and sore throat are signs of possible infection. Because PTU may cause leukopenia or agranulocytosis, these symptoms should be reported to the health care provider for further assessment. Options 1, 2, and 4 are incorrect. Tinnitus, altered taste, thickened saliva, nightmares or night sweats, insomnia, dry eyes, decreased blinking, or reddened sclera are not symptoms related to PTU therapy Answer: 4 Rationale: Myxedema is characterized by severely decreased cardiac output, fluid and electrolyte imbalance, acidosis, decreased respiratory function, tongue edema, and hypothermia. The client's airway, breathing, and circulation needs must be attended to first. The client would be on bedrest immediately after admission. The BP would be decreased, rather than elevated, because of reduced cardiac output. The client in myxedema coma has generally lost consciousness. Skin breakdown is a significant risk that needs to be managed concurrently with promotion of oxygenation, but the diet should be high in fiber once the client is stable enough to eat. Recommended textbook solutions
 Clinical Reasoning Cases in Nursing7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions
The Human Body in Health and Disease7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions
Pharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 388 solutions
Essentials of Medical Language4th EditionDavid M Allan, Rachel Basco 404 solutions Upgrade to remove ads Only ₩37,125/year
Terms in this set (39)Increased risk of thyroid disorder is found in individuals who are: A. obese. D. elderly. A 48-year-old woman with newly diagnosed hypothyroidism asks about a "natural thyroid" medication she read about online and provides the drug's name: desiccated thyroid. As you counsel her about this medication, you consider all of the following except: A. this product contains a fixed dose of T3 and T4. B. the medication is a plant-based product. C. its pharmacokinetics differ significantly when compared to levothyroxine. D. the majority of the study on treatment for hypothyroidism has been done using levothyroxine. B. the medication is a plant-based product. Hypothyroidism most often develops as a result of: A. primary pituitary failure. C. autoimmune thyroiditis. Which is following is the least helpful test for the assessment of thyroid disease? A. total T4 A. total T4 Physical examination findings in patients with Graves' disease include: A. muscle tenderness. C. eyelid retraction. The mechanism of action of radioactive iodine in the treatment of Graves' disease is to: A. destroy the overactive thyroid tissue. A. destroy the overactive thyroid tissue. Which of the following medications is a helpful treatment option for relief of tremor and tachycardia seen with untreated hyperthyroidism? A. propranolol A. propranolol In prescribing levothyroxine therapy for an elderly patient, which of the following statements is true? A. Elderly persons require a rapid initiation of levothyroxine therapy. B. TSH should be checked about 2 days after dosage adjustment. C. The levothyroxine dose needed by elderly persons is 75% or less of that needed by younger adults. D. TSH should be suppressed to a nondetectable level. C. The levothyroxine dose needed by elderly persons is 75% or less of that needed by younger adults. TSH is released by the: A. thyroid follicles. D. anterior lobe of the pituitary In the report of a thyroid scan done on a 48-year-old woman with a thyroid mass, a "cold spot" is reported. This finding is most consistent with: A. autonomously functioning adenoma. D. thyroid cyst. You advise a 58-year-old woman with hypothyroidism about the correct use of levothyroxine. She also takes a calcium supplement. All of the following should be shared with the patient except which instruction? A. "Take the medication on an empty stomach." B. "To help with adherence, take your calcium supplement at the same time as your thyroid medication." The findings of a painless thyroid mass and TSH level of less than 0.1 IU/mL in a 35-year-old woman is most consistent with: A. autonomously functioning adenoma. A. autonomously functioning adenoma. A fixed, painless thyroid mass accompanied by hoarseness and dysphagia should raise the suspicion of: A. adenomatous lesion. D. thyroid malignancy. Which of the following is the most cost-effective method of distinguishing a malignant from a benign thyroid nodule? A. ultrasound C. fine-needle aspiration biopsy Possible consequences of excessive levothyroxine use include: A. bone thinning. A. bone thinning. At minimum, at what interval should TSH be reassessed after a levothyroxine dosage is adjusted? A. 1 to 2 weeks D. 6 to 8 weeks As part of an evaluation of a 3-cm, round, mobile thyroid mass, you obtain a thyroid ultrasound scan revealing a fluid-filled structure. The most likely A. adenoma. B. thyroid cyst. Periodic routine screening for hypothyroidism is indicated in the presence of which of the following A. digoxin use C. Down syndrome Heat intolerance is associated with which of the following? A. hyperthyroidism A. hyperthyroidism Smooth, silky skin are associated with which of the following? A. hyperthyroidism A. hyperthyroidism Goiter is associated with which of the following? A. hyperthyroidism C. both.
Frequent, low-volume and loose stools are associated with which of the following? A. hyperthyroidism A. hyperthyroidism Secondary hypertriglyceridemia is associated with which of the following? A. hyperthyroidism B. hypothyroidism, Amenorrhea or oligomenorrhea is associated with which of the following? A. hyperthyroidism A. hyperthyroidism coarse and dry skin are associated with which of the following? A. hyperthyroidism B. hypothyroidism, Menorrhagia is associated with which of the following? A. hyperthyroidism B. hypothyroidism Hyperreflexia with a characteristic "quick out-quick back" action at the patellar reflex is associated with which of the following? A. hyperthyroidism A. hyperthyroidism Proximal muscle weakness is associated with which of the following? A. hyperthyroidism A. hyperthyroidism Tachycardia with hypertension A. hyperthyroidism A. hyperthyroidism Hyporeflexia with a characteristic slow relaxation phase, the "hung-up" reflex is associated with which of the following? A. hyperthyroidism B. hypothyroidism Coarse hair with tendency to break easily is associated with which of the following? A. hyperthyroidism B. hypothyroidism Thick and dry nails are associated with which of the following? A.
hyperthyroidism B. hypothyroidism Constipation is associated with which of the following? A. hyperthyroidism B. hypothyroidism Atypical presentation in an elderly person is associated with which of the following? A. hyperthyroidism C. both. Change in mental status is associated with which of the following? A. hyperthyroidism C. both. The use of which of the following medications can induce thyroid dysfunction? A. sertraline D. lithium Match the condition with the laboratory results: TSH = 8.9 mIU/L (0.4 to 4.0 mIU/L); free A. hypothyroidism C. subclinical hypothyroidism. Match the condition with the laboratory results: TSH less than 0.15 mIU/L (0.4 to 4.0 mIU/L); free T4 = 79 pmol/L (10 to 27 pmol/L) A. hypothyroidism Hyperthyroidism Match the condition with the laboratory results: TSH = 24 mIU/L (0.4 to 4.0 mIU/L); free A. hypothyroidism Hypothyroidism Students also viewedAdult Health 2, exam 1224 terms Karen_Brazier FNP Endocrine Bits37 terms jtrelease Chapter 11: Endocrine Disorders149 terms alyssahuston1015 NUR 720 exam 2 set 5.2 (Acute Coronary Syndrome)52 terms CoachMicks Sets found in the same folder504 Exam 5 Diabetes Mellitus55 terms myen001 504 Exam 5 Cushing's Syndrome and Cushing's Disease6 terms myen001 504 Exam 5 Influenza Immunization16 terms myen001 504 Exam 5 Osteoporosis15 terms myen001 Other sets by this creatorScribe America Medical Terminology188 terms myen001 Medical Abbreviations119 terms myen001 Peer Practice Questions1,059 terms myen001 For the Lover That I Lost15 terms myen001 Verified questionscomputer science In which property does the text entered into a TextBox get stored? Verified answer physics Can work be done on a system if there is no motion? Verified answer
physics A heart pacemaker is designed to operate at 72 beats $/ \mathrm{min}$ using a $6.5-\mu \mathrm{F}$ capacitor in a simple $R C$ circuit. What value of resistance should be used if the pacemaker is to fire (capacitor discharge) when the voltage reaches $75 \%$ of maximum? Verified answer
computer science Consider the following function: ``` int secret(int m, int n) { int temp = n; for (int i = 1; i < abs(m); i++) temp = temp + n; if (m < 0) temp = -temp; return temp; } ``` What does the function **secret** do? Verified answer Recommended textbook solutionsClinical Reasoning Cases in Nursing7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions Structural Kinesiology18th EditionClem Thompson 456 solutions Get Fit, Stay Well!4th EditionRebecca J. Donatelle 212 solutions Legal and Ethical Issues for Health Professionals3rd EditionGeorge Pozgar 431 solutions Other Quizlet setsconcepts of criminal law final49 terms chloecolee Trainigswissenschaften Klausur 244 terms malte_peick English Final36 terms allyson_reeves7 Which clinical manifestations is a classic finding in Graves disease?Common signs and symptoms of Graves' disease include: Anxiety and irritability. A fine tremor of the hands or fingers. Heat sensitivity and an increase in perspiration or warm, moist skin.
What would expected findings during an assessment of a client with hyperthyroidism include?Hyperthyroidism may manifest as weight loss despite an increased appetite, palpitation, nervousness, tremors, dyspnea, fatigability, diarrhea or increased GI motility, muscle weakness, heat intolerance, and diaphoresis.
What are normal physical assessment findings for a patient with hypothyroidism?Overt hypothyroidism is associated with typical symptoms and signs such as the slowing of motor activity, constipation, cold intolerance, menorrhagia, stiff muscles, sleep apnea, dry skin, weight gain, snoring, and a hoarse voice. Less common symptoms involve the heart, muscle, joints, and blood.
Which factor is a main assessment finding that signifies hypothyroidism?The finding of an elevated TSH and low FT4 or FTI indicates primary hypothyroidism due to disease in the thyroid gland. A low TSH and low FT4 or FTI indicates hypothyroidism due to a problem involving the pituitary gland.
|
Physical examination findings in patients with Graves disease include Quizlet
zusammenhängende Posts
Urheberrechte © © 2024 defrojeostern Inc.
