Thyroid Replacement Therapy Quiz

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Questions and Answers

What is the priority symptom for a nurse to monitor after administering oral levothyroxine to a client with hypothyroidism?

  • Diaphoresis
  • Weight loss
  • Palpitations (correct)
  • Diarrhea

Which of the following symptoms would indicate that the nurse needs to reassess the medication dosage after giving levothyroxine?

  • Constipation
  • Increased appetite
  • Thinning hair
  • Palpitations (correct)

After administering levothyroxine, what is a potential side effect that the nurse should monitor closely?

  • Fatigue
  • Weight gain
  • Cold intolerance
  • Palpitations (correct)

Which symptom is essential for the nurse to observe that could indicate overmedication with levothyroxine?

<p>Palpitations (B)</p> Signup and view all the answers

What clinical sign should raise concern for a nurse when monitoring a client on levothyroxine?

<p>Palpitations (B)</p> Signup and view all the answers

What condition is treated by thyroid replacement therapy?

<p>Hypothyroidism (B)</p> Signup and view all the answers

Which of the following is a potential cause of hypothyroidism?

<p>Irradiation damage to the thyroid (B)</p> Signup and view all the answers

What is the primary function of levothyroxine in the treatment of hypothyroidism?

<p>To stimulate T4 receptors (D)</p> Signup and view all the answers

Which symptom should be reported immediately when considering possible cardiac toxicity from levothyroxine overdosage?

<p>Chest pain (B)</p> Signup and view all the answers

What serious condition can possible overdosage of levothyroxine mimic?

<p>Extreme hyperthyroid state (A)</p> Signup and view all the answers

Flashcards

Hypothyroidism

A condition where the thyroid gland doesn't produce enough thyroid hormones for normal metabolism.

Levothyroxine

Synthetic thyroid hormone used to treat hypothyroidism.

Hyperthyroidism

A condition characterized by excessive thyroid hormone production.

Cardiac Toxicity Symptoms

Symptoms including chest pain, hypertension, tachycardia, and palpitations. May indicate possible cardiac toxicity.

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Atrial fibrillation

An irregular heartbeat, often occurring in the upper chambers of the heart.

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What is Levothyroxine?

Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism. It replaces the thyroid hormone that the body is not producing.

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What is the priority side effect of Levothyroxine?

Palpitations are a common side effect of levothyroxine, as it increases thyroid hormone levels, which can lead to a faster heartbeat.

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What is hypothyroidism?

Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormone. This can lead to various symptoms, including fatigue, weight gain, and slow heart rate.

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What is diaphoresis?

Diaphoresis is excessive sweating. While it can be a side effect of levothyroxine, it is not as common or concerning as palpitations.

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Why does Levothyroxine potentially lead to weight loss?

Weight loss is a potential benefit of levothyroxine, as it helps regulate metabolism and can lead to weight management. It is not a priority side effect to monitor.

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Study Notes

Thyroid Replacement Therapy

  • Thyroid replacement is used to treat hypothyroidism, a condition where the thyroid gland produces insufficient thyroid hormones, hindering the body's metabolic functions.
  • Causes include autoimmune diseases (e.g., Hashimoto's thyroiditis), surgical removal, destruction by radiation, and poorly functioning thyroid glands.
  • Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism.
  • Levothyroxine is an isomer of thyroxine (T4) mimicking T4's action by stimulating T4 receptors in the body and effectively replacing the client's thyroid hormone.
  • Side effects of levothyroxine overdose mimic extreme hyperthyroidism.
  • Symptoms indicating potential toxicity include chest pain, hypertension, and tachycardia.
  • Palpitations are a sign of possible toxicity, indicating potential arrhythmias including atrial fibrillation.

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