To promote optimal absorption the nurse would instruct a patient to take their levothyroxine

4. Managing lifelong corticosteroid replacement

(The patient with Addison's disease experiences hypofunctioning of the adrenal cortex, resulting in decreased production of glucocorticoids, mineral corticoids, and androgens. Patients with Addison's disease require lifelong glucocorticoid and mineral corticoid replacement therapy to avoid Addisonian crisis. Addisonian crisis is characterized by profound hypotension, dehydration, fever, tachycardia, hyponatremia, and hyperkalemia. Circulatory collapse may occur if the patient is treated inadequately. Although Addisonian crisis often is triggered by illness-related physiologic stress, and although avoiding infection is important, avoiding infection is of lower priority than managing lifelong corticosteroid replacement. Corticosteroid replacement must be increased during times of stress to prevent Addisonian crisis. Patients taking a mineralocorticoid should increase their salt intake. Emotional stress may contribute to the need for increased corticosteroid replacement. Stress management techniques are important. Practicing stress management techniques, however, is of lower priority than managing lifelong corticosteroid replacement.)

1. Atenolol

(Atenolol, a β-Adrenergic blocker, is prescribed to control the stimulation of the sympathetic nervous system that often occurs with hyperthyroidism. Atenolol manages tachycardia, nervousness, irritability, and tremors. It is considered the drug of choice for treating a patient diagnosed with hyperthyroidism, asthma, and heart disease. Methimazole is used to treat hyperthyroidism; however, it is not the drug of choice for patients with concurrent diagnoses of asthma and heart disease. Lugol's solution is an antithyroid drug that is used in treatment of thyrotoxicosis. Propylthiouracil, although appropriate for the treatment of hyperthyroidism, is not the drug of choice for a patient with concurrent diagnoses of asthma and heart disease.)

Which action does the nurse take to provide improved care for a patient with hyperthyroidism?

Nursing Management.
Monitor vital signs, especially heart rate and blood pressure (both increase in hyperthyroidism).
Ask if the patient has chest pain (Due to increased heart work).
Listen to the heart for murmurs..
Obtain ECG (atrial arrhythmias may occur in hyperthyroidism).
Teach the patient to relax..

Which finding would the nurse assess in a patient with hypothyroidism?

Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are: Activity intolerance related to fatigue and depressed cognitive process. Risk for imbalanced body temperature related to cold intolerance. Constipation related to depressed gastrointestinal function.

Which intervention would the nurse take for a patient with hyperaldosteronism?

Aldosterone-blocking drugs – medications that can stop the production of aldosterone can be used to treat hyperaldosteronism. These are also the treatment of choice in individuals who are not fit to have surgical removal of the adrenal gland with the tumor.

Which interventions would the nurse perform when preparing a patient for a radioactive iodine uptake?

Patient Preparation Instruct the patient to fast and restrict fluids for 8 to 12 hr before the procedure. The patient may be instructed, by medical direction, to restrict foods, medicines, or supplements containing iodine for 1 to 2 wk before the study.