Hypothyroidism and Myxedema Management Quiz

Restore a normal metabolic state by replacing the missing hormone = Management of hypothyroidism Prevention of disease progression and complications = Management of hypothyroidism Prevention of cardiac dysfunction in long-standing hypothyroidism = Management of hypothyroidism Monitoring for signs and symptoms of cardiac dysfunction = Quality and Safety Nursing Alert

Elevated serum cholesterol, atherosclerosis, and coronary artery disease = Long-standing hypothyroidism Angina and acute coronary syndrome = Deficiency of thyroid hormone Angina or arrhythmias during thyroid replacement therapy = Enhanced cardiovascular effects of catecholamines Acute coronary syndrome and morbid complications = Response to therapy in severe, long-standing hypothyroidism

Reduction in blood supply is tolerated without overt symptoms of coronary artery disease = Subnormal metabolism and low oxygen demand Oxygen needs of the myocardium exceed its blood supply = The occurrence of angina and acute coronary syndrome Thyroid hormones enhance the cardiovascular effects of catecholamines = Angina or arrhythmias during thyroid replacement therapy Aggressive treatment to avoid morbid complications = Response to therapy in patients with severe, long-standing hypothyroidism

<p>Discontinuation of thyroid hormone administration if angina or arrhythmias occur = Severe hypothyroidism and myxedema coma Cautious fluid administration and passive rewarming with a blanket = Severe hypothyroidism and myxedema coma Careful monitoring of the effects of analgesic, sedative, and anesthetic agents = Nursing care of patients with hypothyroidism and myxedema Medications for hypothyroidism given with extreme caution due to potential altered metabolism and excretion = Nursing care of patients with hypothyroidism and myxedema</p> Signup and view all the answers

<p>Proper medication administration = Patient and family education Recognizing desired actions and side effects of medications = Patient and family education Importance of nutrition and diet = Patient and family education Referral for home, community-based, or transitional care = Patient and family education</p> Signup and view all the answers

<p>Prevalence of hypothyroidism increases with age, particularly among older women = Age-related alterations in immune function and multiple comorbidities Subclinical disease common among older women and can be asymptomatic or mistaken for other medical conditions = Age-related alterations in immune function and multiple comorbidities Symptoms of hypothyroidism in older adults may be atypical = Prevalence of hypothyroidism increases with age, particularly among older women Signs and symptoms of hypothyroidism in older adults may be atypical and may be mistaken for other conditions = Subclinical disease common among older women and can be asymptomatic or mistaken for other medical conditions</p> Signup and view all the answers

<p>Fatigue, muscle aches, and mental confusion = Increased metabolic rate too quickly Depression, apathy, decreased mobility, and weight loss = Increased metabolic rate too quickly Atypical symptoms attributed to normal aging = Potential impact on older patients with severe hypothyroidism and atherosclerosis Marked clinical improvement following hormone replacement = Potential impact on older patients with severe hypothyroidism and atherosclerosis</p> Signup and view all the answers

<p>Cautious, lower dosage resumption with close monitoring = Discontinuation of thyroid hormone administration if angina or arrhythmias occur Prompt, aggressive management to maintain vital functions = Severe hypothyroidism and myxedema coma Administration of hormone replacement continued for life = Marked clinical improvement following hormone replacement Periodic follow-up monitoring of serum TSH levels in older patients = Marked clinical improvement following hormone replacement</p> Signup and view all the answers

<p>Monitoring the patient's recovery and ability to cope with changes = Referral for home, community-based, or transitional care Monitoring effects of analgesic, sedative, and anesthetic agents = Nursing care of patients with hypothyroidism and myxedema Monitoring serum TSH levels in older patients = Marked clinical improvement following hormone replacement Careful monitoring of the effects of analgesic, sedative, and anesthetic agents = Nursing care of patients with hypothyroidism and myxedema</p> Signup and view all the answers

<p>Symptoms being attributed to normal aging = Atypical symptoms in older adults Symptoms mistaken for other medical conditions = Subclinical disease in older women Increased prevalence among older women = Age-related alterations in immune function and multiple comorbidities Potential altered metabolism and excretion of medications = Symptoms mistaken for other medical conditions</p> Signup and view all the answers

<p>Discontinuation of thyroid hormone = Angina or arrhythmias occurrence Cautious fluid administration = Severe hypothyroidism and myxedema coma Monitoring effects of certain agents = Older patients with hypothyroidism Referral for home or community-based care = Patient's recovery and ability to cope</p> Signup and view all the answers

<p>Proper medication administration = Managing hypothyroidism at home Recognizing desired actions and side effects = Importance of patient and family education Importance of nutrition and diet = Managing hypothyroidism at home Periodic follow-up monitoring = Serum TSH levels in older patients</p> Signup and view all the answers

<p>Fatigue, muscle aches, mental confusion = Older adults with atypical symptoms Depression, apathy, decreased mobility = Older adults with initial major symptoms Confusion and agitation = Older patients with severe hypothyroidism and atherosclerosis Increased prevalence = Older women</p> Signup and view all the answers

<p>Cautious, lower dosage resumption = After angina or arrhythmias Passive rewarming with a blanket = Myxedema coma management Altered metabolism and excretion = Medication administration caution Marked clinical improvement = After hormone replacement administration</p> Signup and view all the answers

<p>Altered drug effects = Monitoring in older patients Potential altered metabolism = Extreme caution with medications Age-related immune alterations = Increased prevalence in older women Subclinical disease = Common among older women</p> Signup and view all the answers

<p>Asymptomatic or mistaken for other conditions = Subclinical disease in older women Potential for confusion with normal aging = Atypical symptoms in older adults Need for life-long therapy = Hormone replacement administration Monitoring patient's recovery = Referral for transitional care</p> Signup and view all the answers

<p>Atypical symptoms = Symptoms in older adults Angina or arrhythmias = Discontinuation of thyroid hormone Desired actions and side effects education = Patient and family education Confusion and agitation risk = Rapid metabolic rate increase</p> Signup and view all the answers

<p>Close monitoring after dosage resumption = Post-angina or arrhythmias Cautious fluid administration = Myxedema coma Careful monitoring of drug effects = Older hypothyroid patients Monitoring for signs of atherosclerosis = Older patients with severe hypothyroidism</p> Signup and view all the answers

<p>Increased prevalence with age = Older women Symptoms mistaken for other conditions = Subclinical disease in older adults Administration of hormone replacement = Continued for life Serum TSH levels monitoring = Periodic follow-up in older patients</p> Signup and view all the answers

<p>Weight loss = May be a symptom in older adults Nutrition and diet importance = Managing hypothyroidism at home Monitoring recovery and coping = After referral for care Confusion and agitation if metabolic rate increased too quickly = Older patients with atherosclerosis</p> Signup and view all the answers

<p>Medication with extreme caution = Altered metabolism and excretion Monitoring of serum TSH levels = Hormone replacement therapy follow-up Patient education = Crucial for home management Subtle symptoms = May be attributed to normal aging</p> Signup and view all the answers

<p>Myxedema coma = Requires aggressive management Analgesic, sedative, and anesthetic agents = Effects need careful monitoring Education on medication administration = Essential for home management Atherosclerosis in older patients = Can cause confusion if metabolic rate is increased too quickly</p> Signup and view all the answers

<p>Graves disease</p> Signup and view all the answers

<p>Women</p> Signup and view all the answers

<p>Second to fourth decades</p> Signup and view all the answers

<p>Anxiety and irritability</p> Signup and view all the answers

<p>Increased appetite</p> Signup and view all the answers

<p>Graves disease</p> Signup and view all the answers

<p>Autoimmune disorder causing excessive thyroid hormone output</p> Signup and view all the answers

<p>Tachycardia</p> Signup and view all the answers

<p>Excessive sweating</p> Signup and view all the answers

<p>Diarrhea</p> Signup and view all the answers

<p>Thin skin</p> Signup and view all the answers

<p>Excessive blinking</p> Signup and view all the answers

<p>Sinus tachycardia</p> Signup and view all the answers

<p>Myocardial hypertrophy and heart failure</p> Signup and view all the answers

<p>Excessive administration of thyroid hormone for hypothyroidism</p> Signup and view all the answers

<p>Decrease in serum TSH, increased free T4, and increase in radioactive iodine uptake</p> Signup and view all the answers

<p>A bruit</p> Signup and view all the answers

<p>A thrill</p> Signup and view all the answers

<p>Symptoms of hyperthyroidism</p> Signup and view all the answers

<p>Premature osteoporosis</p> Signup and view all the answers

<p>The thyroid gland</p> Signup and view all the answers

<p>A bruit heard over the thyroid arteries</p> Signup and view all the answers