Podcast
Questions and Answers
A client with Graves' disease is likely to exhibit which set of lab values?
A client with Graves' disease is likely to exhibit which set of lab values?
- Elevated TSH, decreased T3 and T4
- Normal TSH, normal T3 and T4
- Elevated TSH, normal T3 and T4
- Decreased TSH, elevated T3 and T4 (correct)
A client is prescribed levothyroxine. What is the most important instruction to provide regarding its administration?
A client is prescribed levothyroxine. What is the most important instruction to provide regarding its administration?
- Take it at night to coincide with the body's natural hormone production.
- Take it with other medications to enhance absorption.
- Take it with food to avoid stomach upset.
- Take it on an empty stomach, 30 minutes before a meal. (correct)
A client has hypothyroidism secondary to a pituitary tumor. Which of the following lab findings would you expect to see?
A client has hypothyroidism secondary to a pituitary tumor. Which of the following lab findings would you expect to see?
- High TSH, low T4
- High TSH, high T4
- Low TSH, high T4
- Low TSH, low T4 (correct)
A client is scheduled for a thyroidectomy. Which medication might the provider prescribe preoperatively to reduce the risk of thyrotoxic crisis?
A client is scheduled for a thyroidectomy. Which medication might the provider prescribe preoperatively to reduce the risk of thyrotoxic crisis?
Which of the following best describes the primary cause of hypothyroidism?
Which of the following best describes the primary cause of hypothyroidism?
Which nursing intervention is the highest priority when caring for a client with hyperthyroidism?
Which nursing intervention is the highest priority when caring for a client with hyperthyroidism?
Which action is most important for the nurse to take when admitting a client diagnosed with cellulitis to prevent the spread of infection?
Which action is most important for the nurse to take when admitting a client diagnosed with cellulitis to prevent the spread of infection?
A client with a wound infection requires droplet precautions. Which PPE should the nurse wear when providing direct care?
A client with a wound infection requires droplet precautions. Which PPE should the nurse wear when providing direct care?
When educating a client about infection prevention at home, which of the following instructions is most appropriate?
When educating a client about infection prevention at home, which of the following instructions is most appropriate?
A client diagnosed with cellulitis of the lower leg reports increased pain, swelling, and fever. What is the priority nursing action?
A client diagnosed with cellulitis of the lower leg reports increased pain, swelling, and fever. What is the priority nursing action?
Flashcards
Hormonal Regulation
Hormonal Regulation
Physiological mechanisms regulating hormone secretion and action within the endocrine system.
Hyperthyroidism
Hyperthyroidism
A condition characterized by excessive thyroid hormone levels, commonly caused by Graves' disease.
Hypothyroidism
Hypothyroidism
A deficiency of thyroid hormone, leading to slowed metabolic processes. Typically high TSH and low T4.
Infection
Infection
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Cellulitis
Cellulitis
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Standard Precautions
Standard Precautions
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Thyroid Replacement Drug
Thyroid Replacement Drug
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Antithyroid Drug
Antithyroid Drug
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Penicillins
Penicillins
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Cephalosporins
Cephalosporins
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Study Notes
Hormonal Regulation: Hyperthyroidism/Hypothyroidism
- Hormonal regulation involves physiological mechanisms regulating hormone secretion and action within the endocrine system.
- Hyperthyroidism is commonly caused by Graves disease.
- TSH levels are low, while T3/T4 levels are elevated.
- Treatment includes radioactive iodine, propylthiouracil (PTU), and thyroidectomy.
- Thyrotoxic crisis is also a possible result of hyperthyroidism.
- Hypothyroidism involves a deficiency of thyroid hormone and is more common in men.
- TSH levels are high, and T4 levels are low.
- Primary hypothyroidism results from the destruction of thyroid tissues.
- Secondary hypothyroidism involves pituitary or hypothalamus issues, leading to low TSH or TRH.
- Goiters are a common cause.
- Myxedema is excessively low thyroid levels.
- Levothyroxine is a treatment, taken on an empty stomach 30 minutes before meals and is a lifetime treatment.
- Key areas include risk factors, clinical manifestations, and priority nursing assessments.
- Nursing and collaborative interventions, along with client education, are important aspects.
Infection: Cellulitis
- Infection refers to the invasion and multiplication of microorganisms in body tissues.
- Cellulitis is an infection of the dermis and subcutaneous tissue.
- Follow standard precautions for infection control.
- Isolation precautions and appropriate PPE for each type includes:
- Contact isolation (gown/gloves).
- Airborne isolation (N95 mask).
- Droplet isolation (mask or respirator).
- Educate clients on infection prevention.
- Note risk factors, clinical manifestations (local vs. systemic), and priority nursing assessments for cellulitis.
- Nursing and collaborative interventions and client education are important for cellulitis management.
Elimination: Constipation and Diarrhea
- Elimination is the body's process of removing waste products.
- Constipation and diarrhea are the exemplars for this concept.
- Important to note risk factors, clinical manifestations, and priority nursing assessments for both conditions.
- Nursing and collaborative interventions, along with client education, are crucial in managing elimination issues.
Pharmacology/Medications: Thyroid Disorders and Antibacterials
- Consult ATI Drug Information Tables and Medication Active Learning Templates for listed drugs, focusing on:
- Therapeutic use.
- Adverse drug reactions.
- Nursing interventions.
- Administration.
- Client instructions.
- Contraindications.
- Precautions.
- Interactions.
- Key drugs for thyroid disorders include:
- Levothyroxine (thyroid replacement).
- Propylthiouracil (antithyroid).
- Radioactive iodine (antithyroid).
- Antibacterials for infection:
- Penicillin (amoxicillin or penicillin).
- Cephalexin (first generation cephalosporin).
- Vancomycin.
- Tetracycline.
- Erythromycin (macrolide).
- Gentamicin (aminoglycoside).
- Ciprofloxacin (fluoroquinolone).
- Trimethoprim/sulfamethoxazole (sulfonamide).
ATI Quiz Creation
- Log in to your ATI account and use the "Path" feature to create custom quizzes. Steps:
- Log in to ATI.
- Go to "My ATI."
- Select the "Assessments" tab.
- Go to the "Quiz Bank."
- Choose "Dynamic Quizzes."
- Select "New Custom Quiz."
- Browse questions on topics and mark relevant ones.
- "Study" marked questions.
- Start the quiz.
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