Thyroid Disorders Quiz
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Questions and Answers

What effect does calcitonin have on blood calcium levels?

  • Increases reabsorption of calcium by renal tubules
  • Promotes storage of calcium in bones (correct)
  • Promotes absorption of calcium in the intestines
  • Inhibits storage of calcium in bones
  • What is a common cause of hyperthyroidism?

  • Graves' disease (correct)
  • Congenital hypothyroidism
  • Surgical removal of part of the thyroid
  • Hashimoto’s disease
  • Which condition is referred to as myxedema?

  • Severe hypothyroidism requiring immediate treatment (correct)
  • Complication of untreated hyperthyroidism
  • Emergency situation due to hyperthyroidism
  • Thyroid storm with rapid heart rate
  • How can hyperthyroidism be managed at the hormonal level?

    <p>By blocking synthesis of thyroid hormones</p> Signup and view all the answers

    Which symptom is more likely to be associated with hyperthyroidism than hypothyroidism?

    <p>Fast heart rate</p> Signup and view all the answers

    What is one reason a person might have hypothyroidism?

    <p>Thyroiditis</p> Signup and view all the answers

    Which of the following is NOT a management strategy for thyroid storm?

    <p>Providing thyroid hormone injections</p> Signup and view all the answers

    What diagnostic procedure may indicate hyperthyroidism?

    <p>Checking for fast heart rate and tremors</p> Signup and view all the answers

    Which of the following is NOT a sign of thyroid eye disease?

    <p>Thyroid hormone imbalance</p> Signup and view all the answers

    What is the range for T3 (total) levels that indicate normalcy?

    <p>70-204 ng/dl</p> Signup and view all the answers

    Which procedure uses a small amount of radioactive iodine to evaluate thyroid function?

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

    What nursing diagnosis relates to altered bowel elimination in patients with hyperthyroidism?

    <p>Fluid volume deficit related to altered bowel elimination</p> Signup and view all the answers

    After which type of therapy will a patient require health teaching about complications?

    <p>Radioactive Iodine Therapy (RAI)</p> Signup and view all the answers

    What is a common nursing diagnosis related to a patient's knowledge deficit about their medical condition?

    <p>Anxiety related to knowledge deficit about medical diagnosis</p> Signup and view all the answers

    Which of the following management strategies is included in the medical management of hyperthyroidism?

    <p>Radioactive Iodine Therapy (RAI)</p> Signup and view all the answers

    What is the primary objective of preoperative assessments before thyroidectomy surgery?

    <p>To ensure proper informed consent and preparation</p> Signup and view all the answers

    Which nursing diagnosis is directly related to a patient's perception of their body after weight loss?

    <p>Low self-esteem related to disturbed body image</p> Signup and view all the answers

    What is one of the primary goals related to the patient's postoperative care?

    <p>Maintain a patent airway</p> Signup and view all the answers

    Which option represents a potential complication to monitor post-operatively?

    <p>Laryngeal edema</p> Signup and view all the answers

    What pre-operative teaching should be emphasized for a patient undergoing surgery?

    <p>Cough and deep breathing exercises</p> Signup and view all the answers

    Why might a patient experience low self-esteem after surgery?

    <p>Disturbed body image related to surgical changes</p> Signup and view all the answers

    Which nursing diagnosis indicates an immediate priority related to the surgical procedure?

    <p>High risk for ineffective air way clearance related to surgical incision</p> Signup and view all the answers

    What complication should be monitored for due to potential surgical incision issues?

    <p>Infection related to surgical incision</p> Signup and view all the answers

    Which of the following interventions addresses both physical and psychological aspects of postoperative care?

    <p>Educate on wound care and emotional support</p> Signup and view all the answers

    What should be done to assess for signs of hypocalcaemia in a patient?

    <p>Check for facial twitching and abnormal hand reactions.</p> Signup and view all the answers

    Which position is recommended for a patient recovering from surgery to manage acute pain?

    <p>Semi-Fowler’s position with head supported.</p> Signup and view all the answers

    What should be monitored to ensure a patent airway clearance?

    <p>Respiratory depth and characteristics of sputum.</p> Signup and view all the answers

    How can a patient be assisted in preventing injury after surgery?

    <p>Keep side rails raised and bed low.</p> Signup and view all the answers

    What is an appropriate action to facilitate effective communication in a patient?

    <p>Assess speech regularly for any alterations.</p> Signup and view all the answers

    What substance may be administered if a patient shows signs of hypocalcaemia?

    <p>Calcium gluconate</p> Signup and view all the answers

    What should a caregiver monitor in a patient post-surgery to ensure effective airway clearance?

    <p>Sputum color and characteristics.</p> Signup and view all the answers

    Which of the following is a consideration when repositioning a patient to maintain a patent airway?

    <p>Using multiple pillows to support the head.</p> Signup and view all the answers

    What nursing diagnosis is prioritized for a patient experiencing discomfort related to ineffective breathing patterns?

    <p>Discomfort related to ineffective breathing pattern</p> Signup and view all the answers

    Which of the following interventions is most appropriate to improve a patient's respiratory status?

    <p>Monitor respiratory depth and pattern</p> Signup and view all the answers

    Which goal focuses on addressing bowel-related issues?

    <p>Return of normal bowel function</p> Signup and view all the answers

    What potential nursing diagnosis is associated with a patient at high risk for anxiety?

    <p>High risk for anxiety related to knowledge deficit about medical diagnosis</p> Signup and view all the answers

    Which nursing intervention is critical for a patient with constipation to prevent abdominal pain?

    <p>Increase fluid intake</p> Signup and view all the answers

    Identifying strategies for weight reduction is specifically categorized under which nursing intervention?

    <p>Weight reduction</p> Signup and view all the answers

    Which factor is crucial for nursing intervention related to follow-up visits?

    <p>The importance of regular follow-up visits with healthcare provider</p> Signup and view all the answers

    What is the underlying concern when addressing a patient's disturbed body image?

    <p>Weight reduction</p> Signup and view all the answers

    Study Notes

    Thyroid Hormones and Calcium

    • Calcitonin and PTH work together to regulate blood calcium levels
    • Calcitonin promotes calcium storage in bones, PTH stimulates reabsorption in the kidneys

    Thyroid Disorders

    • Thyroid disorders occur when the thyroid gland produces excess or insufficient thyroid hormones
    • Hyperthyroidism: Overactive thyroid, too much thyroid hormone
      • Graves' disease (autoimmune disease)
      • Overactive thyroid nodules (lumps in the thyroid, usually not cancerous)
      • Thyroiditis (inflammation of the thyroid gland)
    • Hypothyroidism: Underactive thyroid, not enough thyroid hormone
      • Hashimoto's disease (autoimmune disease)
      • Thyroiditis (inflammation of the thyroid)
      • Surgical removal of part or all of the thyroid
      • Pituitary gland tumor
      • Radiation treatment of the thyroid
      • Thyroid tumor

    Signs and Symptoms

    • Hyperthyroidism
      • Increased heart rate
      • Weight loss
      • Nervousness
      • Tremors
      • Heat intolerance
      • Enlarged thyroid gland
      • Bulging eyes
    • Hypothyroidism
      • Fatigue
      • Weight gain
      • Cold intolerance
      • Constipation
      • Dry skin
      • Hair loss
      • Slowed heart rate

    Hyperthyroidism Complications

    • Thyroid storm (thyrotoxic crisis) - rare, potentially life-threatening, caused by untreated hyperthyroidism
    • Management of Thyroid Storm:
      • Block thyroid hormone synthesis (antithyroid drugs)
      • Block thyroid hormone release (iodine)
      • Block T4 conversion to T3 (propranolol, propylthiouracil [PTU])
      • Block enterohepatic circulation (cholestyramine)

    Hypothyroidism Complications

    • Myxedema - medical emergency requiring immediate treatment
    • Management of Myxedema:
      • Thyroid hormone injections
      • Glucocorticoid therapy
      • Fluid replacement

    Diagnostic Procedures

    • Physical examination:
      • Examine thyroid for enlargement or nodules
      • Assess for signs of hyperthyroidism: fast heart rate, tremors, warm and moist skin
      • Assess for signs of thyroid eye disease: eye redness, swelling, or bulging of the eyes
    • Thyroid tests (T3, T4, and TSH):
      • T3 (total): 70-204 ng/dl
      • T4 (total): 5-11 ng/dl
      • TSH: 0.4 -4.2 mIU/L
    • Thyroid antibodies: help diagnose autoimmune thyroid disorders
    • Ultrasound: Evaluate thyroid gland size and structure
    • Thyroid scan: Uses radioactive iodine, assesses thyroid function and iodine uptake

    Hyperthyroidism Management

    • Medical Treatment:
      • Anti-thyroid drugs: block thyroid hormone production
      • Beta-blockers: help control symptoms like heart rate
      • Radioactive Iodine Therapy (RAI): destroys thyroid tissue
    • Surgical Treatment: Total or partial thyroidectomy
    • Nursing Management:
      • Preoperative: Assess, prepare for surgery, ensure informed consent
      • Postoperative:
        • Assessment: Vital signs, pain, incision, complications (laryngeal edema, hemorrhage, respiratory obstruction)
        • Common Nursing Diagnoses: Ineffective airway clearance, insomnia, anxiety, disturbed body image
        • Nursing Interventions: Monitor airway, manage pain, prevent injury, promote effective communication
        • Health Teaching: Postoperative care instructions, wound care, activity restrictions, dietary modifications

    Hypothyroidism Management

    • Medical Treatment: Thyroid hormone replacement therapy (levothyroxine)
    • Nursing Management:
      • Assessment: Assess symptoms, monitor vital signs, assess for potential complications
      • Common Nursing Diagnoses: Discomfort, abdominal pain, insomnia, disturbed body image, anxiety, low self-esteem, activity intolerance
      • Nursing Interventions: Manage respiratory symptoms, control body temperature, promote rest, encourage weight reduction, ensure medication adherence
      • Health Teaching: Emphasize medication compliance, follow-up appointments

    General Nursing Considerations

    • Prioritize nursing diagnoses based on ABC (Airway, Breathing, Circulation)
    • Address patient’s psychosocial needs throughout care
    • Encourage patient participation in their care plan
    • Provide education and emotional support to patients and families
    • Follow-up appointments are crucial for ongoing monitoring and management of thyroid disorders

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    Thyroid Disorders 2023/2024 PDF

    Description

    Test your knowledge on thyroid hormones and disorders, including conditions like hyperthyroidism and hypothyroidism, and their respective symptoms. This quiz covers key aspects of calcitonin, PTH, and the regulatory roles they play in calcium levels as well. Prepare to evaluate your understanding of this essential endocrine topic!

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