NCLEX Study: Hyperthyroidism & Grave's Disease

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Questions and Answers

Hyperthyroidism is also called?

Cushing's syndrome

Grave's disease (correct)

Myxedema

Hypothalamic disorder

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.

True Signup and view all the answers

After thyroidectomy, patients are at risk for what condition?

Hypocalcemia Signup and view all the answers

What does parathesia refer to?

Numbness and tingling Signup and view all the answers

S/S of thyroid storm include?

Extremely high vital signs, hyperpyrexia, psychotic delirium Signup and view all the answers

How to treat thyroid storm?

Give O2, lower temperature Signup and view all the answers

Match the following disease with their characteristics:

Addison's disease = Undersecretion of adrenal cortex, BRONZE/tan Cushing's syndrome = Oversecretion of adrenal cortex, moon face Hypothyroidism = Myxedema or hypometabolism Hyperthyroidism = Grave's disease or hypermetabolism Signup and view all the answers

What is the best way to remember Addison's disease?

Add a Sone Signup and view all the answers

S/S of Cushing's syndrome include?

Moon face, high blood sugar, losing potassium Signup and view all the answers

Donning PPE's order: Gown, Mask, Goggles, ____.

Gloves Signup and view all the answers

For airborne precautions, the mask is removed ____ of the room.

outside Signup and view all the answers

Avoid answers with the words build, sort, stack, construct, make for children 9 months and younger.

True Signup and view all the answers

Toddlers (1-3 years) focus on which skills?

Gross motor skills Signup and view all the answers

Best default order for click and drag order questions is?

Hold, Assess, Prepare, Call Signup and view all the answers

Creatinine lab values are similar to what?

Lithium 0.6-1.2 Signup and view all the answers

What are the critical INR lab values?

2-3 Signup and view all the answers

Potassium lab values should range between?

3.5-5.3 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.

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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.