Podcast
Questions and Answers
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?
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?
- Blurred and double vision
- Increased thirst and urination (correct)
- Profuse nausea and diarrhea
- Decreased attention and insomnia
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?
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?
- Reassure the client that the voice change is temporary.
- Document the finding and assess the client hourly.
- Place the client in high-Fowlers position and apply oxygen.
- Contact the provider and prepare for intubation. (correct)
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?
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?
- Loosen the dressing.
- Assess for Chvosteks sign. (correct)
- Offer mouth care.
- Ask the client orientation questions.
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?
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?
A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication
should the nurse anticipate being prescribed to the client?
A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication should the nurse anticipate being prescribed to the client?
A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to
address first for this client?
A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client?
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?
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?
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?
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?
A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for
hyperparathyroidism?
A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism?
A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in
this clients plan of care?
A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this clients plan of care?
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?
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?
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?
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?
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?
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?
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 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?
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?
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?
Which electrolyte imbalance is not addressed by the medications administered to a client with hypoparathyroidism?
Which electrolyte imbalance is not addressed by the medications administered to a client with hypoparathyroidism?
In a client with hypoparathyroidism, why is administering oral calcitriol (Rocaltrol) usually not necessary?
In a client with hypoparathyroidism, why is administering oral calcitriol (Rocaltrol) usually not necessary?
