Questions and Answers
Hyperthyroidism is also called?
A tip to remember Grave's disease s/s's is "Run yourself into the ____".
Grave
What is the treatment for Grave's disease?
Radioactive iodine, PTU, surgically remove
Total thyroidectomy patients need lifelong hormone replacement.
Signup and view all the answers
After thyroidectomy, patients are at risk for what condition?
Signup and view all the answers
What does parathesia refer to?
Signup and view all the answers
S/S of thyroid storm include?
Signup and view all the answers
How to treat thyroid storm?
Signup and view all the answers
Match the following disease with their characteristics:
Signup and view all the answers
What is the best way to remember Addison's disease?
Signup and view all the answers
S/S of Cushing's syndrome include?
Signup and view all the answers
Donning PPE's order: Gown, Mask, Goggles, ____.
Signup and view all the answers
For airborne precautions, the mask is removed ____ of the room.
Signup and view all the answers
Avoid answers with the words build, sort, stack, construct, make for children 9 months and younger.
Signup and view all the answers
Toddlers (1-3 years) focus on which skills?
Signup and view all the answers
Best default order for click and drag order questions is?
Signup and view all the answers
Creatinine lab values are similar to what?
Signup and view all the answers
What are the critical INR lab values?
Signup and view all the answers
Potassium lab values should range between?
Signup and view all the answers
Study Notes
Hyperthyroidism and Grave's Disease
- Hyperthyroidism is also known as Grave's disease, characterized by hypermetabolism.
- Symptoms mnemonic: "Run yourself into the Grave" emphasizes symptoms like diarrhea, weight loss, heat intolerance, high blood pressure, high heart rate, and cold intolerance.
Treatment for Hyperthyroidism
- Treatment options include radioactive iodine, Propylthiouracil (PTU), or surgical removal of the thyroid gland.
Thyroidectomy Considerations
- Total thyroidectomy results in tetany and requires lifelong hormone replacement therapy.
- Postoperative risks include hypocalcemia due to potential damage to parathyroid glands, presenting as tetany and paresthesia.
Thyroid Storm
- Subtotal thyroidectomy can lead to thyroid storm, which presents with extremely elevated vital signs, hyperpyrexia, and psychotic delirium.
- Thyroid storm treatment includes administering oxygen and lowering body temperature to protect the brain.
Hypothyroidism
- Hypothyroidism, also referred to as myxedema, results in hypometabolism with symptoms like constipation, heat intolerance, and cold intolerance.
- Treatment involves administering thyroid medications.
Cooling Measures for Thyroid Storm
- Five ice packs should be applied to the neck, armpits, and groin to cool a patient experiencing thyroid storm.
- Rapid cooling might lead to cardiac arrhythmias.
Addison’s Disease
- Addison's disease is characterized by undersecretion of adrenal cortex hormones, leading to symptoms like a bronze complexion and susceptibility to shock, particularly under stress.
- Treatment involves long-term steroid therapy.
Cushing's Syndrome
- Cushing's syndrome results from the overproduction of adrenal cortex hormones, leading to symptoms such as moon facies, elevated blood sugar levels, and potassium loss.
- Treatment options include surgery, specifically bilateral or unilateral adrenalectomy.
PPE Protocols
- Proper order for donning PPE: Gown, Mask, Goggles, Gloves.
- When removing PPE, follow the alphabetical order while inside the room.
Precautions for Children's Developmental Stages
- Children 9 months and younger should avoid activities that involve building or sorting.
- Toddlers (1-3 years) focus on gross motor skills and engage in parallel play.
- Preschoolers (3-6 years) develop fine motor skills, balance, and engage in cooperative play.
- School-age children (7-11 years) focus on creative, collecting, and competitive activities.
NCLEX Question Strategies
- For click-and-drag order questions, use the default order: Hold medication, Assess what the medication does, Prepare any corrections, Call or notify the appropriate personnel.
- Avoid choosing answers that suggest calling a doctor, as NCLEX emphasizes critical thinking.
Laboratory Values
- Creatinine levels are similar to lithium, ranging from 0.6-1.2, not typically considered dangerous.
- INR values should be maintained between 2-3; significant deviation presents bleeding risk requiring intervention with vitamin K as an antidote for Coumadin.
- Normal potassium levels are between 3.5-5.3. If low, assess heart function and prepare to administer potassium. If high, hold potassium, assess heart via EKG, and prepare to administer D5W and regular insulin.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Prepare for the NCLEX with this quiz focused on hyperthyroidism and Grave's disease. Each flashcard covers key definitions, symptoms, and treatment options associated with this condition. Test your knowledge and strengthen your understanding of important nursing concepts.