30 Questions
What is the most common type of goiter that occurs when iodine intake is deficient?
Simple or colloid goiter
What hormone controls the release of thyroid hormone from the thyroid gland?
Thyrotropin (TSH)
What is the term for a tumor of the thyroid gland that is accompanied by hyperthyroidism?
Toxic goiter
What causes simple goiter besides iodine deficiency?
Intake of large quantities of goitrogenic substances
What is the term for a goiter associated with a euthyroid state?
Nontoxic goiter
What is the term for a compensatory hypertrophy of the thyroid gland caused by stimulation by the pituitary gland?
Simple goiter
What has been found to have antithyroid actions and may cause simple goiter?
Lithium prescribed for the treatment of bipolar disorder
What is the term for a tumor of the thyroid gland that is not accompanied by hyperthyroidism?
Nontoxic goiter
What is the term for a goiter associated with an iodine deficiency?
Endemic goiter
What is the term for the diffuse or irregular quality of the thyroid glandular enlargement?
Goiter
What is the primary cause of nodular goiter?
Insufficient iodine
How can goiters resulting in tracheal compression be treated?
Supplementary iodine or surgery
Which factor has been highly effective in preventing goiter in at-risk populations?
Iodized salt
What increases the risk of thyroid carcinoma?
External radiation of the head, neck, or chest in infancy and childhood
What is the treatment of choice for localized thyroid carcinoma?
Surgical removal
What is used for thyroid cancers with metastasis?
Radioactive iodine
What may patients receiving radioactive iodine treatment experience?
Short-term side effects
What is a good prognosis for patients with early-detected thyroid cancer and papillary cancer?
Long-term survival
What is the primary risk factor for thyroid cancer?
Increased exposure to external radiation in infancy and childhood
What are the diagnostic procedures for evaluating thyroid nodules?
Thyroid function tests, ultrasound-guided fine needle biopsy, and various imaging studies
What is crucial for thyroid hormone supplementation monitoring?
T4, TSH, serum calcium, and phosphorus levels
What is important for preoperative goals to avoid thyroid storm?
Reducing patient anxiety and protecting them from stress
What is emphasized in patient education after thyroidectomy?
Medication adherence and follow-up monitoring recommendations
What is important for postoperative care after thyroidectomy?
Pain assessment, supporting the patient's head during movement, and encouraging early mobility
What is important for long-term follow-up after thyroidectomy?
Based on cancer stage and initial treatment results
What tests are used to confirm metastasis sites after thyroidectomy?
Radioiodine imaging, CT, MRI, skeletal x-rays, and FDG PET
What is important for preoperative education before thyroidectomy?
Explaining tests and preparations, and ensuring a good night's rest
What is important for postoperative priorities after thyroidectomy?
Observing breathing difficulties, monitoring pulse and blood pressure, and assessing surgical dressings
What should the nurse be alert for after thyroidectomy, indicating subcutaneous hemorrhage?
Complaints of pressure or fullness at the incision site
What diet is important preoperatively before thyroidectomy?
High carbohydrate and protein diet with increased caloric intake
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
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.
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