Nursing Management of Hyperthyroidism
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Questions and Answers

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?

    <p>To prevent corneal injury</p> Signup and view all the answers

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

    <p>To replace fluid and electrolyte losses due to vomiting and diarrhea</p> Signup and view all the answers

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

    <p>Due to the patient's irritability and restlessness</p> Signup and view all the answers

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

    <p>To maintain flexibility and range of motion</p> Signup and view all the answers

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

    <p>To promote coping by the patient</p> Signup and view all the answers

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

    <p>To promote the patient's sleep and reduce sleep problems</p> 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?

    <p>To manage diaphoresis</p> Signup and view all the answers

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

    <p>To treat acute thyrotoxicosis</p> Signup and view all the answers

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

    <p>To prevent complications related to the disease or treatment</p> Signup and view all the answers

    What is a common indication for thyroidectomy?

    <p>To alleviate tracheal compression caused by a large goiter</p> Signup and view all the answers

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

    <p>90%</p> Signup and view all the answers

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

    <p>To avoid thyroidectomy in patients with thyroid disease</p> Signup and view all the answers

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

    <p>Minimally invasive endoscopic or robotic thyroidectomy</p> Signup and view all the answers

    What is the primary reason for performing a total thyroidectomy?

    <p>To treat thyroid cancer</p> Signup and view all the answers

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

    <p>Shorter hospital stay</p> Signup and view all the answers

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

    <p>Vocal cord paralysis</p> Signup and view all the answers

    Why may the patient experience difficulty in talking after thyroidectomy?

    <p>Due to edema of the laryngeal nerve</p> Signup and view all the answers

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

    <p>To support the head and reduce tension on the suture lines</p> Signup and view all the answers

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

    <p>Tingling of toes, fingers, or around the mouth</p> 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?

    <p>To ensure the patient's airway is patent</p> Signup and view all the answers

    Why is it important to monitor calcium levels after thyroidectomy?

    <p>To detect hypoparathyroidism</p> Signup and view all the answers

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

    <p>To ensure normal thyroid function has returned</p> Signup and view all the answers

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

    <p>Once or twice a week</p> Signup and view all the answers

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

    <p>Inhibits thyroid regeneration</p> Signup and view all the answers

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

    <p>To contact the healthcare provider if they develop</p> Signup and view all the answers

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

    <p>Inhibits thyroid function</p> Signup and view all the answers

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

    <p>To prevent weight gain</p> Signup and view all the answers

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

    <p>To stimulate the thyroid gland</p> Signup and view all the answers

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

    <p>Thyroid replacement</p> Signup and view all the answers

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