Medical-Surgical Nursing: Thyroid and Parathyroid Glands Chapter 63 Quiz
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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?

  • 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?

  • 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?

  • 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?

    <p>I am always tired, even with 12 hours of sleep.</p> Signup and view all the answers

    A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication should the nurse anticipate being prescribed to the client?

    <p>Levothyroxine sodium (Synthroid)</p> Signup and view all the answers

    A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client?

    <p>Depression and withdrawal</p> Signup and view all the answers

    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?

    <p>Heart rate is 70 beats/min and regular.</p> Signup and view all the answers

    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?

    <p>Youll need thyroid pills for life because your thyroid wont start working again.</p> Signup and view all the answers

    A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism?

    <p>A 29-year-old female with pregnancy-induced hypertension</p> Signup and view all the answers

    A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this clients plan of care?

    <p>Use a lift sheet to assist the client with position changes.</p> Signup and view all the answers

    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?

    <p>Serum calcium: 6.9 mg/dL</p> Signup and view all the answers

    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?

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

    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?

    <p>Turn the lights down and shut the clients door.</p> Signup and view all the answers

    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?

    <p>After surgery, I wont need to take thyroid medication.</p> Signup and view all the answers

    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?

    <pre><code>Ensure that working suction equipment is in the room. </code></pre> Signup and view all the answers

    Which electrolyte imbalance is not addressed by the medications administered to a client with hypoparathyroidism?

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

    In a client with hypoparathyroidism, why is administering oral calcitriol (Rocaltrol) usually not necessary?

    <p>It doesn't address vitamin D deficiency</p> Signup and view all the answers

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