20717535
Description
Quiz by Esmeralda Espitia, updated more than 1 year ago
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Created by Esmeralda Espitia
almost 5 years ago
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Question 1
Question
1. Which patient is most at risk for Thyroid Storm?
Answer
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A. A 60 year old female who reports not taking Synthroid regularly.
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B. A 45 year old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis.
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C. A 6 year old with an allergy to iodine.
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D. A 25 year old female who is pregnant with her 4th child and is experiencing eczema.
Question 2
Question
2. A patient is admitted with thyroid storm. Which sign and symptoms are NOT present with this condition-SELECT ALL THAT APPLY?
Answer
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A. Temperature of 104.9’F
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B. Heart rate of 125 bpm
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C. Respirations of 42
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D. Heart rate of 20 bpm
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E. Intolerance to cold
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F. Restless
Question 3
Question
3. A physician orders a patient in thyroid storm to be started on Inderal. What in the patient’s health history causes the nurse to question the doctor’s order?
Answer
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A. History of mental illness
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B. History of asthma
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C. History of tachycardia
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D. History of cancer
Question 4
Question
4. A patient taking Tapazole reports feeling dizzy, intolerant to cold, and tired. On assessment, you note the patient’s heart rate is 45 and blood pressure is 70/30. What is the most likely cause?
Answer
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A. Antithyroid toxicity
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B. Agranulocytosis
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C. Thyroid storm
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D. Bronchospasm
Question 5
Question
5. Which of the following foods below should a patient experiencing a thyroid storm avoid? Select all that apply:
Answer
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A. Shrimp
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B. Milk
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C. Hard boiled eggs
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D. Seaweed (Kelp)
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E. Broccoli
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F. Peas
Question 6
Question
6. Which of the following are not a treatment for Thyroid Storm?
Answer
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A. Propylthiouracil (PTU)
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B. Synthyroid
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C. Inderal
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D. Glucocorticoids
Question 7
Question
7. Lugol’s solution helps block ________ of thyroid hormones in thyroid storm. Which of the following is a side effect of this medication?
Answer
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A. the removal; tophi
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B. excretion; swollen lymph nodes
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C. release/synthesis; taste changes
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D. movement; hypocalcemia
Question 8
Question
8. Which of the following medication orders should a nurse question if ordered on a patient with thyroid storm?
Answer
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A. Propylthiouracil “PTU” for a 25 year old who is 8 weeks pregnant.
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B. Aspirin as needed for a fever greater than 102.2 ‘F
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C. Inderal for a patient who reports having insomnia
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D. Tapazole for a 30 year old having complaints of headache
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