Podcast
Questions and Answers
What is the most common type of goiter that occurs when iodine intake is deficient?
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?
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?
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?
What causes simple goiter besides iodine deficiency?
What is the term for a goiter associated with a euthyroid state?
What is the term for a goiter associated with a euthyroid state?
What is the term for a compensatory hypertrophy of the thyroid gland caused by stimulation by the pituitary gland?
What is the term for a compensatory hypertrophy of the thyroid gland caused by stimulation by the pituitary gland?
What has been found to have antithyroid actions and may cause simple goiter?
What has been found to have antithyroid actions and may cause simple goiter?
What is the term for a tumor of the thyroid gland that is not accompanied by hyperthyroidism?
What is the term for a tumor of the thyroid gland that is not accompanied by hyperthyroidism?
What is the term for a goiter associated with an iodine deficiency?
What is the term for a goiter associated with an iodine deficiency?
What is the term for the diffuse or irregular quality of the thyroid glandular enlargement?
What is the term for the diffuse or irregular quality of the thyroid glandular enlargement?
What is the primary cause of nodular goiter?
What is the primary cause of nodular goiter?
How can goiters resulting in tracheal compression be treated?
How can goiters resulting in tracheal compression be treated?
Which factor has been highly effective in preventing goiter in at-risk populations?
Which factor has been highly effective in preventing goiter in at-risk populations?
What increases the risk of thyroid carcinoma?
What increases the risk of thyroid carcinoma?
What is the treatment of choice for localized thyroid carcinoma?
What is the treatment of choice for localized thyroid carcinoma?
What is used for thyroid cancers with metastasis?
What is used for thyroid cancers with metastasis?
What may patients receiving radioactive iodine treatment experience?
What may patients receiving radioactive iodine treatment experience?
What is a good prognosis for patients with early-detected thyroid cancer and papillary cancer?
What is a good prognosis for patients with early-detected thyroid cancer and papillary cancer?
What is the primary risk factor for thyroid cancer?
What is the primary risk factor for thyroid cancer?
What are the diagnostic procedures for evaluating thyroid nodules?
What are the diagnostic procedures for evaluating thyroid nodules?
What is crucial for thyroid hormone supplementation monitoring?
What is crucial for thyroid hormone supplementation monitoring?
What is important for preoperative goals to avoid thyroid storm?
What is important for preoperative goals to avoid thyroid storm?
What is emphasized in patient education after thyroidectomy?
What is emphasized in patient education after thyroidectomy?
What is important for postoperative care after thyroidectomy?
What is important for postoperative care after thyroidectomy?
What is important for long-term follow-up after thyroidectomy?
What is important for long-term follow-up after thyroidectomy?
What tests are used to confirm metastasis sites after thyroidectomy?
What tests are used to confirm metastasis sites after thyroidectomy?
What is important for preoperative education before thyroidectomy?
What is important for preoperative education before thyroidectomy?
What is important for postoperative priorities after thyroidectomy?
What is important for postoperative priorities after thyroidectomy?
What should the nurse be alert for after thyroidectomy, indicating subcutaneous hemorrhage?
What should the nurse be alert for after thyroidectomy, indicating subcutaneous hemorrhage?
What diet is important preoperatively before thyroidectomy?
What diet is important preoperatively before thyroidectomy?
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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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