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

Questão 1 de 20

1

Which of the following are risk factors for hyperthyroidism?

Selecione uma ou mais das seguintes:

  • Graves disease

  • Hashimoto thyroiditis

  • Iodine deficiency

  • Being male

  • Between 20 and 40 years of age

Explicação

Questão 2 de 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?

Selecione uma das seguintes:

  • "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."

Explicação

Questão 3 de 20

1

What is the normal lab value for serum TSH?

Selecione uma das seguintes:

  • 0.35-5.5 mU/mL

  • Below 0.1 mcg/mL

  • 5.5-6.5 mU/mL

  • 4.5-11.5 mcg/dL

Explicação

Questão 4 de 20

1

What is the normal lab value for serum T4?

Selecione uma das seguintes:

  • 80-200 ng/dL

  • 0.35-5.5 mU/mL

  • 4.5-11.5 mcg/dL

  • 7.35-7.45

Explicação

Questão 5 de 20

1

What is the normal lab value for serum T3?

Selecione uma das seguintes:

  • 0.35-5.5 mU/mL

  • 80-200 ng/dL

  • 4.5-11.5 mcg/dL

  • 250-350 ng/dL

Explicação

Questão 6 de 20

1

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

Selecione uma das seguintes:

  • "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."

Explicação

Questão 7 de 20

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 8 de 20

1

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

Selecione uma ou mais das seguintes:

  • 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.

Explicação

Questão 9 de 20

1

Which of the following are the neurologic signs of hyperthyroidism?

Selecione uma ou mais das seguintes:

  • Hand and eye tremors

  • Nervousness

  • Insomnia

  • Emotional lability

  • Increased reflexes

  • Hand and foot paresthesias

  • Memory impairment

  • Somnolence

  • Confusion

  • Slow speech

Explicação

Questão 10 de 20

1

Which of the following are sensory signs of hypothyroidism?

Selecione uma ou mais das seguintes:

  • Periorbital edema

  • Blurred vision

  • Photophobia

  • Lacrimination

  • Exophthalmos

Explicação

Questão 11 de 20

1

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

Selecione uma ou mais das seguintes:

  • Dyspnea

  • Hypertension

  • Tachycardia

  • Palpations

  • Pleural effusion

  • Hypotension

  • Bradycardia

  • Enlarged heart

  • Anemia

  • Dysrhythmias

Explicação

Questão 12 de 20

1

Which of the following are gastrointestinal signs of hypothyroidism?

Selecione uma ou mais das seguintes:

  • Constipation

  • Nausea

  • Vomiting

  • Diarrhea

  • Abdominal pain

Explicação

Questão 13 de 20

1

Which of the following are reproductive signs of hyperthyroidism?

Selecione uma ou mais das seguintes:

  • Amenorrhea

  • Decreased fertility (females)

  • Decreased libido (males)

  • Impotence

  • Menorrhagia

  • Infertility (Female)

Explicação

Questão 14 de 20

1

Which of the following are musculoskeletal signs of hyperthyroidism?

Selecione uma ou mais das seguintes:

  • Muscle wasting

  • Weakness

  • Fatigue

  • Muscle stiffness

Explicação

Questão 15 de 20

1

Which of the following are integumentary signs of hypothyroidism?

Selecione uma ou mais das seguintes:

  • Hair loss

  • Brittle nails

  • Coarse, dry skin

  • Nonpitting edema

  • Fine, thin hair

  • Flushed, moist skin

Explicação

Questão 16 de 20

1

Which of the following are metabolic signs of hyperthyroidism?

Selecione uma ou mais das seguintes:

  • Hyperthermia

  • Diaphoresis

  • Hunger

  • Weight loss

  • Fluid volume deficit

  • Hypothermia

  • Anorexia

  • Weight gain

  • Systemic edema

Explicação

Questão 17 de 20

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 18 de 20

1

Which of the following are risk factors for hypothyroidism?

Selecione uma ou mais das seguintes:

  • Hashimoto thyroiditis

  • Treatment with lithium carbonate

  • Graves disease

  • Toxic multinodular goider

  • Family history of autoimuune conditions

Explicação

Questão 19 de 20

1

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

Selecione uma das seguintes:

  • "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."

Explicação

Questão 20 de 20

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação