17 Questions
A nurse assesses a client with hyperthyroidism who is prescribed lithium carbonate. Which assessment finding should alert the nurse to a side effect of this therapy?
Increased thirst and urination
A nurse assesses a client who is recovering from a total thyroidectomy and notes the development of stridor. Which action should the nurse take first?
Contact the provider and prepare for intubation.
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the second postoperative day the client states, I feel numbness and tingling around my mouth. What action should the nurse take?
Assess for Chvosteks sign.
A nurse assesses a client on the medical-surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism?
I am always tired, even with 12 hours of sleep.
A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication should the nurse anticipate being prescribed to the client?
Levothyroxine sodium (Synthroid)
A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client?
Depression and withdrawal
A nurse assesses a client who is prescribed levothyroxine (Synthroid) for hypothyroidism. Which assessment finding should alert the nurse that the medication therapy is effective?
Heart rate is 70 beats/min and regular.
A nurse cares for a client who has hypothyroidism as a result of Hashimotos thyroiditis. The client asks, How long will I need to take this thyroid medication? How should the nurse respond?
Youll need thyroid pills for life because your thyroid wont start working again.
A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism?
A 29-year-old female with pregnancy-induced hypertension
A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this clients plan of care?
Use a lift sheet to assist the client with position changes.
A nurse cares for a client who is recovering from a parathyroidectomy. When taking the clients blood pressure, the nurse notes that the clients hand has gone into flexion contractions. Which laboratory result does the nurse correlate with this condition?
Serum calcium: 6.9 mg/dL
A nurse cares for a client newly diagnosed with Graves disease. The clients mother asks, I have diabetes mellitus. Am I responsible for my daughters disease? How should the nurse respond?
An association has been noted between Graves disease and diabetes, but the fact that you have diabetes didnot cause your daughter to have Graves disease.
While assessing a client with Graves disease, the nurse notes that the clients temperature has risen 1 F. Which action should the nurse take first?
Turn the lights down and shut the clients door.
After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional instruction?
After surgery, I wont need to take thyroid medication.
A nurse plans care for a client who has hypothyroidism and is admitted for pneumonia. Which priority intervention should the nurse include in this clients plan of care?
Ensure that working suction equipment is in the room.
Which electrolyte imbalance is not addressed by the medications administered to a client with hypoparathyroidism?
Hyperkalemia
In a client with hypoparathyroidism, why is administering oral calcitriol (Rocaltrol) usually not necessary?
It doesn't address vitamin D deficiency
Test your knowledge on the care of patients with problems of the thyroid and parathyroid glands in Medical-Surgical Nursing. This quiz focuses on assessing side effects of therapy for hyperthyroidism, specifically lithium carbonate.
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