Nursing Management of Hyperthyroidism

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What is the primary reason for encouraging exercise involving large muscle groups in a patient with thyroid surgery?

To promote fluid drainage from the periorbital area
To release nervous tension and restlessness (correct)
To minimize stress on the surgical site
To prevent corneal injury

Why is it important to apply artificial tears to a patient with exophthalmos?

To soothe and moisten conjunctival membranes (correct)
To promote fluid drainage from the periorbital area
To reduce anxiety and restlessness
To minimize stress on the surgical site

What is the primary goal of nursing management for a patient with hyperthyroidism?

To monitor for dysrhythmias and decompensation
To educate the patient on thyroid hormone production and the sympathetic nervous system
To provide relief of symptoms and maintain nutritional balance (correct)
To aggressively treat acute thyrotoxicosis in an intensive care unit

What is the purpose of lightly taping the eyelids shut during sleep in a patient with exophthalmos?

To prevent corneal injury (D) Signup and view all the answers

What is the primary reason for administering IV fluids to a patient with hyperthyroidism?

To replace fluid and electrolyte losses due to vomiting and diarrhea (C) Signup and view all the answers

Why is it a challenge to provide adequate rest for a patient with hyperthyroidism?

Due to the patient's irritability and restlessness (D) Signup and view all the answers

What is the benefit of teaching a patient to exercise intraocular muscles after thyroid surgery?

To maintain flexibility and range of motion (D) Signup and view all the answers

Why is it important to establish a supportive, trusting relationship with a patient having thyroid surgery?

To promote coping by the patient (D) Signup and view all the answers

What is the benefit of providing a calm, quiet room for a patient with hyperthyroidism?

To promote the patient's sleep and reduce sleep problems (B) Signup and view all the answers

What is the primary reason for using light bed coverings and changing the linen frequently in a patient with thyroid surgery?

To manage diaphoresis (C) Signup and view all the answers

What is the purpose of giving medications that block thyroid hormone production and the sympathetic nervous system?

To treat acute thyrotoxicosis (C) Signup and view all the answers

Why is it important to monitor a patient with hyperthyroidism for dysrhythmias and decompensation?

To prevent complications related to the disease or treatment (A) Signup and view all the answers

What is a common indication for thyroidectomy?

To alleviate tracheal compression caused by a large goiter (C) Signup and view all the answers

What percentage of the thyroid gland is typically removed during a subtotal thyroidectomy?

90% (C) Signup and view all the answers

What is the primary goal of antithyroid therapy in relation to thyroidectomy?

To avoid thyroidectomy in patients with thyroid disease (B) Signup and view all the answers

What type of thyroidectomy is suitable for patients with small nodules?

Minimally invasive endoscopic or robotic thyroidectomy (A) Signup and view all the answers

What is the primary reason for performing a total thyroidectomy?

To treat thyroid cancer (A) Signup and view all the answers

What is the primary benefit of a minimally invasive endoscopic or robotic thyroidectomy?

Shorter hospital stay (A) Signup and view all the answers

What is a potential complication of thyroidectomy that may require immediate tracheostomy?

Vocal cord paralysis (B) Signup and view all the answers

Why may the patient experience difficulty in talking after thyroidectomy?

Due to edema of the laryngeal nerve (A) Signup and view all the answers

What is the purpose of placing the patient in a semi-Fowler's position after thyroidectomy?

To support the head and reduce tension on the suture lines (D) Signup and view all the answers

Which of the following is a sign of tetany secondary to hypoparathyroidism?

Tingling of toes, fingers, or around the mouth (D) Signup and view all the answers

What is the primary reason for assessing the patient frequently for signs of hemorrhage or tracheal compression after thyroidectomy?

To ensure the patient's airway is patent (D) Signup and view all the answers

Why is it important to monitor calcium levels after thyroidectomy?

To detect hypoparathyroidism (B) Signup and view all the answers

What is the primary purpose of monitoring thyroid hormone balance after thyroid surgery?

To ensure normal thyroid function has returned (A) Signup and view all the answers

What is the recommended frequency of seafood consumption to promote thyroid function?

Once or twice a week (B) Signup and view all the answers

What is the effect of high environmental temperatures on thyroid regeneration?

Inhibits thyroid regeneration (A) Signup and view all the answers

What is the purpose of teaching the patient about the signs and symptoms of thyroid failure?

To contact the healthcare provider if they develop (C) Signup and view all the answers

What is the consequence of excess iodine intake on thyroid function?

Inhibits thyroid function (B) Signup and view all the answers

Why is it important to substantially reduce caloric intake after thyroid surgery?

To prevent weight gain (D) Signup and view all the answers

What is the importance of regular exercise in promoting thyroid function?

To stimulate the thyroid gland (A) Signup and view all the answers

What is the lifelong necessity for a patient who has undergone a complete thyroidectomy?

Thyroid replacement (C) Signup and view all the answers