Thyroidectomy Nursing Management Quiz

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Questions and Answers

What is the most common type of goiter that occurs when iodine intake is deficient?

Endemic goiter

Nontoxic goiter

Simple or colloid goiter (correct)

Toxic goiter

What hormone controls the release of thyroid hormone from the thyroid gland?

Thyroxine (T4)

Triiodothyronine (T3)

Calcitonin

Thyrotropin (TSH) (correct)

What is the term for a tumor of the thyroid gland that is accompanied by hyperthyroidism?

Toxic goiter (correct)

Endemic goiter

Colloid goiter

Nontoxic goiter

What causes simple goiter besides iodine deficiency?

Intake of large quantities of goitrogenic substances Signup and view all the answers

What is the term for a goiter associated with a euthyroid state?

Nontoxic goiter Signup and view all the answers

What is the term for a compensatory hypertrophy of the thyroid gland caused by stimulation by the pituitary gland?

Simple goiter Signup and view all the answers

What has been found to have antithyroid actions and may cause simple goiter?

Lithium prescribed for the treatment of bipolar disorder Signup and view all the answers

What is the term for a tumor of the thyroid gland that is not accompanied by hyperthyroidism?

Nontoxic goiter Signup and view all the answers

What is the term for a goiter associated with an iodine deficiency?

Endemic goiter Signup and view all the answers

What is the term for the diffuse or irregular quality of the thyroid glandular enlargement?

Goiter Signup and view all the answers

What is the primary cause of nodular goiter?

Insufficient iodine Signup and view all the answers

How can goiters resulting in tracheal compression be treated?

Supplementary iodine or surgery Signup and view all the answers

Which factor has been highly effective in preventing goiter in at-risk populations?

Iodized salt Signup and view all the answers

What increases the risk of thyroid carcinoma?

External radiation of the head, neck, or chest in infancy and childhood Signup and view all the answers

What is the treatment of choice for localized thyroid carcinoma?

Surgical removal Signup and view all the answers

What is used for thyroid cancers with metastasis?

Radioactive iodine Signup and view all the answers

What may patients receiving radioactive iodine treatment experience?

Short-term side effects Signup and view all the answers

What is a good prognosis for patients with early-detected thyroid cancer and papillary cancer?

Long-term survival Signup and view all the answers

What is the primary risk factor for thyroid cancer?

Increased exposure to external radiation in infancy and childhood Signup and view all the answers

What are the diagnostic procedures for evaluating thyroid nodules?

Thyroid function tests, ultrasound-guided fine needle biopsy, and various imaging studies Signup and view all the answers

What is crucial for thyroid hormone supplementation monitoring?

T4, TSH, serum calcium, and phosphorus levels Signup and view all the answers

What is important for preoperative goals to avoid thyroid storm?

Reducing patient anxiety and protecting them from stress Signup and view all the answers

What is emphasized in patient education after thyroidectomy?

Medication adherence and follow-up monitoring recommendations Signup and view all the answers

What is important for postoperative care after thyroidectomy?

Pain assessment, supporting the patient's head during movement, and encouraging early mobility Signup and view all the answers

What is important for long-term follow-up after thyroidectomy?

Based on cancer stage and initial treatment results Signup and view all the answers

What tests are used to confirm metastasis sites after thyroidectomy?

Radioiodine imaging, CT, MRI, skeletal x-rays, and FDG PET Signup and view all the answers

What is important for preoperative education before thyroidectomy?

Explaining tests and preparations, and ensuring a good night's rest Signup and view all the answers

What is important for postoperative priorities after thyroidectomy?

Observing breathing difficulties, monitoring pulse and blood pressure, and assessing surgical dressings Signup and view all the answers

What should the nurse be alert for after thyroidectomy, indicating subcutaneous hemorrhage?

Complaints of pressure or fullness at the incision site Signup and view all the answers

What diet is important preoperatively before thyroidectomy?

High carbohydrate and protein diet with increased caloric intake Signup and view all the answers

Study Notes

Thyroidectomy: Preoperative and Postoperative Nursing Management

Thyroid hormone therapy and periodic follow-up are important for patient well-being after thyroidectomy
Long-term follow-up recommendations are based on cancer stage and initial treatment results
Tests for recurrence include clinical examination, TSH and free thyroxine measurement, serum thyroglobulin, and neck ultrasound
Tests used to confirm metastasis sites include radioiodine imaging, CT, MRI, skeletal x-rays, and FDG PET
Monitoring of T4, TSH, serum calcium, and phosphorus levels is crucial for thyroid hormone supplementation
Patient education emphasizes medication adherence and follow-up monitoring recommendations
Preoperative goals include reducing patient anxiety and protecting them from stress to avoid thyroid storm
High carbohydrate and protein diet with increased caloric intake is important preoperatively
Preoperative education includes explaining tests and preparations, and ensuring a good night's rest
Postoperative priorities include observing breathing difficulties, monitoring pulse and blood pressure, and assessing surgical dressings
The nurse should be alert for complaints of pressure or fullness at the incision site indicating subcutaneous hemorrhage
Postoperative care involves pain assessment, supporting the patient's head during movement and turning, and encouraging early mobility and easily swallowed foods

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Description

Test your knowledge of preoperative and postoperative nursing management for patients undergoing thyroidectomy. This quiz covers important aspects such as hormone therapy, follow-up recommendations, monitoring tests, patient education, preoperative goals, and postoperative priorities.