32 Questions
What is the primary reason for encouraging exercise involving large muscle groups in a patient with thyroid surgery?
To release nervous tension and restlessness
Why is it important to apply artificial tears to a patient with exophthalmos?
To soothe and moisten conjunctival membranes
What is the primary goal of nursing management for a patient with hyperthyroidism?
To provide relief of symptoms and maintain nutritional balance
What is the purpose of lightly taping the eyelids shut during sleep in a patient with exophthalmos?
To prevent corneal injury
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
Why is it a challenge to provide adequate rest for a patient with hyperthyroidism?
Due to the patient's irritability and restlessness
What is the benefit of teaching a patient to exercise intraocular muscles after thyroid surgery?
To maintain flexibility and range of motion
Why is it important to establish a supportive, trusting relationship with a patient having thyroid surgery?
To promote coping by the patient
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
What is the primary reason for using light bed coverings and changing the linen frequently in a patient with thyroid surgery?
To manage diaphoresis
What is the purpose of giving medications that block thyroid hormone production and the sympathetic nervous system?
To treat acute thyrotoxicosis
Why is it important to monitor a patient with hyperthyroidism for dysrhythmias and decompensation?
To prevent complications related to the disease or treatment
What is a common indication for thyroidectomy?
To alleviate tracheal compression caused by a large goiter
What percentage of the thyroid gland is typically removed during a subtotal thyroidectomy?
90%
What is the primary goal of antithyroid therapy in relation to thyroidectomy?
To avoid thyroidectomy in patients with thyroid disease
What type of thyroidectomy is suitable for patients with small nodules?
Minimally invasive endoscopic or robotic thyroidectomy
What is the primary reason for performing a total thyroidectomy?
To treat thyroid cancer
What is the primary benefit of a minimally invasive endoscopic or robotic thyroidectomy?
Shorter hospital stay
What is a potential complication of thyroidectomy that may require immediate tracheostomy?
Vocal cord paralysis
Why may the patient experience difficulty in talking after thyroidectomy?
Due to edema of the laryngeal nerve
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
Which of the following is a sign of tetany secondary to hypoparathyroidism?
Tingling of toes, fingers, or around the mouth
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
Why is it important to monitor calcium levels after thyroidectomy?
To detect hypoparathyroidism
What is the primary purpose of monitoring thyroid hormone balance after thyroid surgery?
To ensure normal thyroid function has returned
What is the recommended frequency of seafood consumption to promote thyroid function?
Once or twice a week
What is the effect of high environmental temperatures on thyroid regeneration?
Inhibits thyroid regeneration
What is the purpose of teaching the patient about the signs and symptoms of thyroid failure?
To contact the healthcare provider if they develop
What is the consequence of excess iodine intake on thyroid function?
Inhibits thyroid function
Why is it important to substantially reduce caloric intake after thyroid surgery?
To prevent weight gain
What is the importance of regular exercise in promoting thyroid function?
To stimulate the thyroid gland
What is the lifelong necessity for a patient who has undergone a complete thyroidectomy?
Thyroid replacement
This quiz assesses your understanding of the nursing management goals and interventions for patients with hyperthyroidism. It covers the relief of symptoms, prevention of complications, and maintenance of nutritional balance.
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