Nursing Management of Hypothyroidism and Myxedema Quiz

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Questions and Answers

What are the objectives in the management of hypothyroidism?

To restore a normal metabolic state without hormone replacement

To solely prevent disease progression and complications

To solely replace the missing hormone

To restore a normal metabolic state by replacing the missing hormone and prevent disease progression and complications (correct)

Why is prevention of cardiac dysfunction important in hypothyroidism management?

Because hypothyroidism causes acute coronary syndrome

Because hypothyroidism directly affects cardiac muscle function

Because hypothyroidism leads to reduced blood supply to the myocardium

Because hypothyroidism is associated with elevated serum cholesterol, atherosclerosis, and coronary artery disease (correct)

Why does reduction in blood supply to the myocardium go unnoticed in hypothyroidism?

Due to increased blood supply compensating for the reduced oxygen demand

Due to absence of atherosclerosis

Due to relatively little oxygen requirement by the tissues (correct)

Due to absence of myocardial oxygen demand

What signals that the oxygen needs of the myocardium exceed its blood supply?

Occurrence of angina and acute coronary syndrome Signup and view all the answers

Why can angina or arrhythmias occur when thyroid replacement is initiated?

Thyroid hormones enhance the cardiovascular effects of catecholamines Signup and view all the answers

What should the nurse monitor for in patients with severe, long-standing hypothyroidism during the early phase of treatment?

Signs and symptoms of cardiac dysfunction Signup and view all the answers

Why must acute coronary syndrome be aggressively treated in hypothyroidism patients?

To avoid morbid complications Signup and view all the answers

What is the recommended approach for managing hypothyroidism in older patients?

Initiating individualized hormone replacement therapy Signup and view all the answers

What is the suggested management approach for severe hypothyroidism and myxedema coma?

Prompt, aggressive management and monitoring of vital functions Signup and view all the answers

What should be considered when administering medications to hypothyroidism patients?

Potential altered metabolism and excretion Signup and view all the answers

What should be done to prevent increased oxygen demands and hypotension during rewarming in hypothyroidism patients?

Passive rewarming with a blanket Signup and view all the answers

What should be monitored to guide assisted ventilation in combating hypoventilation in hypothyroidism patients?

Arterial blood gases Signup and view all the answers

What is the recommended approach for managing hypothyroidism in the presence of angina or arrhythmias?

Discontinuation of thyroid hormone administration Signup and view all the answers

What is a consideration for managing hypothyroidism in older patients?

Increased prevalence among older women Signup and view all the answers

What is a potential risk related to the use of analgesic, sedative, and anesthetic agents in hypothyroidism patients?

Prolonged effects Signup and view all the answers

What is a reason for cautious prescription of thyroid hormone at lower dosage and close monitoring upon safe resumption?

To prevent adverse effects Signup and view all the answers

What should be monitored using pulse oximetry in hypothyroidism patients?

Oxygen saturation levels Signup and view all the answers

What is a consideration for managing hypothyroidism at home?

Education and support for patient and family Signup and view all the answers

What should be used to guide assisted ventilation in combating hypoventilation in hypothyroidism patients?

Arterial blood gases Signup and view all the answers

Study Notes

Nursing Management of Hypothyroidism and Myxedema

Discontinuation of thyroid hormone administration if angina or arrhythmias occur
Need for cautious prescription of thyroid hormone at lower dosage and close monitoring upon safe resumption
Supportive therapy for severe hypothyroidism and myxedema coma includes prompt, aggressive management and monitoring of vital functions
Use of arterial blood gases to guide assisted ventilation in combating hypoventilation
Monitoring of oxygen saturation levels using pulse oximetry
Cautious administration of fluids to prevent water intoxication
Recommendation of passive rewarming with a blanket over active rewarming to prevent increased oxygen demands and hypotension
Prolonged effects of analgesic, sedative, and anesthetic agents in patients with hypothyroidism
Increased risk of adverse effects of these agents in older patients due to age-related changes in liver and renal function
Medications given to hypothyroidism patients with extreme caution due to potential altered metabolism and excretion
Education and support for patient and family to manage hypothyroidism at home, including medication administration, nutrition, and follow-up testing
Gerontologic considerations in hypothyroidism management, including increased prevalence among older women, atypical symptoms, and individualized hormone replacement therapy for older patients

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Description

Test your knowledge of nursing management of hypothyroidism and myxedema with this quiz. Covering topics such as cautious medication administration, supportive therapy, monitoring vital functions, and gerontologic considerations, this quiz will help you assess your understanding of these critical aspects of care.