Olivia McRitchie
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Quiz on Thyroid Disease, created by Olivia McRitchie on 19/03/2018.

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Olivia McRitchie
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Exemplar 12.6: Thyroid Disease

Question 1 of 20

1

Which of the following are risk factors for hyperthyroidism?

Select one or more of the following:

  • Graves disease

  • Hashimoto thyroiditis

  • Iodine deficiency

  • Being male

  • Between 20 and 40 years of age

Explanation

Question 2 of 20

1

A woman who has Graves disease is having marital issues because she's been unable to get pregnant, despite repeated attempts at trying. She doesn't know why this is happening, but she feels like a failure of a wife. Which of the following would you explain to her?

Select one of the following:

  • "Hyperthyroidism can cause decreased fertility."

  • "Hyperthyroidism can cause menstrual irregularities."

  • "Hyperthyroidism can cause an increased risk for spontaneous abortion."

  • "Hyperthyroidism can cause hypertension and tachycardia."

Explanation

Question 3 of 20

1

What is the normal lab value for serum TSH?

Select one of the following:

  • 0.35-5.5 mU/mL

  • Below 0.1 mcg/mL

  • 5.5-6.5 mU/mL

  • 4.5-11.5 mcg/dL

Explanation

Question 4 of 20

1

What is the normal lab value for serum T4?

Select one of the following:

  • 80-200 ng/dL

  • 0.35-5.5 mU/mL

  • 4.5-11.5 mcg/dL

  • 7.35-7.45

Explanation

Question 5 of 20

1

What is the normal lab value for serum T3?

Select one of the following:

  • 0.35-5.5 mU/mL

  • 80-200 ng/dL

  • 4.5-11.5 mcg/dL

  • 250-350 ng/dL

Explanation

Question 6 of 20

1

Which of the following statements indicate to you that your client needs further teaching about radioactive iodine therapy?

Select one of the following:

  • "I will see results in 6-8 weeks."

  • "I will not be under radiation precautions while I'm being treated."

  • "I need to measure my pulse rate following therapy, and tell the provider if it goes over 100 ."

  • "This type of treatment is fairly uncontrollable."

  • "I do not need to tell my doctor if I get pregnant."

Explanation

Question 7 of 20

1

When caring for patients with hyperthyroidism, which of the following is important for the client to understand?

Select one or more of the following:

  • How to provide self care

  • What diet he/she should follow

  • What symptoms to monitor for

  • When to call the provider

  • Importance of taking medications

Explanation

Question 8 of 20

1

Which of the following are appropriate interventions when caring for a patient with hyperthyroidism?

Select one or more of the following:

  • Regularly take vitals

  • Monitor the skin for redness or lesions

  • Teach the client to use artificial tears to moisten eyes.

  • Tell the client to weigh himself at the same time each day.

  • Encourage rest more than physical activity.

  • Collaborate with the dietician to create an appropriate high calorie diet.

Explanation

Question 9 of 20

1

Which of the following are the neurologic signs of hyperthyroidism?

Select one or more of the following:

  • Hand and eye tremors

  • Nervousness

  • Insomnia

  • Emotional lability

  • Increased reflexes

  • Hand and foot paresthesias

  • Memory impairment

  • Somnolence

  • Confusion

  • Slow speech

Explanation

Question 10 of 20

1

Which of the following are sensory signs of hypothyroidism?

Select one or more of the following:

  • Periorbital edema

  • Blurred vision

  • Photophobia

  • Lacrimination

  • Exophthalmos

Explanation

Question 11 of 20

1

Which of the following are the respiratory and cardiovascular signs of hyperthyroidism?

Select one or more of the following:

  • Dyspnea

  • Hypertension

  • Tachycardia

  • Palpations

  • Pleural effusion

  • Hypotension

  • Bradycardia

  • Enlarged heart

  • Anemia

  • Dysrhythmias

Explanation

Question 12 of 20

1

Which of the following are gastrointestinal signs of hypothyroidism?

Select one or more of the following:

  • Constipation

  • Nausea

  • Vomiting

  • Diarrhea

  • Abdominal pain

Explanation

Question 13 of 20

1

Which of the following are reproductive signs of hyperthyroidism?

Select one or more of the following:

  • Amenorrhea

  • Decreased fertility (females)

  • Decreased libido (males)

  • Impotence

  • Menorrhagia

  • Infertility (Female)

Explanation

Question 14 of 20

1

Which of the following are musculoskeletal signs of hyperthyroidism?

Select one or more of the following:

  • Muscle wasting

  • Weakness

  • Fatigue

  • Muscle stiffness

Explanation

Question 15 of 20

1

Which of the following are integumentary signs of hypothyroidism?

Select one or more of the following:

  • Hair loss

  • Brittle nails

  • Coarse, dry skin

  • Nonpitting edema

  • Fine, thin hair

  • Flushed, moist skin

Explanation

Question 16 of 20

1

Which of the following are metabolic signs of hyperthyroidism?

Select one or more of the following:

  • Hyperthermia

  • Diaphoresis

  • Hunger

  • Weight loss

  • Fluid volume deficit

  • Hypothermia

  • Anorexia

  • Weight gain

  • Systemic edema

Explanation

Question 17 of 20

1

Which of the following are appropriate interventions when dealing with a patient having a thyroid storm?

Select one or more of the following:

  • Decrease temperature with aspirin

  • Maintain a patent airway

  • Continually take pulse, temperature, and respirations.

  • Utilize cool sponge baths or ice packs to decrease the fever

  • Administer a beta-blocker

Explanation

Question 18 of 20

1

Which of the following are risk factors for hypothyroidism?

Select one or more of the following:

  • Hashimoto thyroiditis

  • Treatment with lithium carbonate

  • Graves disease

  • Toxic multinodular goider

  • Family history of autoimuune conditions

Explanation

Question 19 of 20

1

Which of the following indicates that the patient with hypothyroidism understands what you've taught them?

Select one of the following:

  • "I should drink up to 2,000 mL a day "

  • "I should turn down the thermostat in my house."

  • "I should use hot water when I shower."

  • "I should use skin oils and lotions that contain alcohol."

Explanation

Question 20 of 20

1

Which of the following are appropriate nursing interventions for a patient with hypothyroidism?

Select one or more of the following:

  • Increase the temperature in the patient's room

  • Elevate the head of the patient's bed to 45 degrees

  • Encourage increased fiber intake.

  • Utilize pillows, pads, or sheepskin foam cushions for the patient's bed

Explanation

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