Examl 1:l NUR185/l NURl 185l (Latestl
2025/l 2026l Update)l Conceptsl ofl Adultl Healthl Nursingl forl thel Practicall Nursel IIl Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Hondros
Q:l Nursingl interventionsl &l pt.l teachingl forl HYPOthyroidism
Answer:
-Teachl patientl tol takel medicationl onl anl emptyl stomach,l inl thel morning.
l Dietl education:l lowl calorie,l lowl carb,l highl proteinl duel tol low
metabolism.l Exercise l Takel stooll softeners l Keepl rooml warml atl leastl 70l degrees
Q:l Hyperthyroidl (Gravesl diseasel or
thyrotoxicosis)
Answer:
alsol calledl Graves'l diseasel -l isl anl autoimmunel disorderl triggered byl environmentl &l orl genetics.
withl thel overproductionl ofl thel thyroidl hormonesl T3l andl T4,l resulting inl anl exaggerationl ofl metabolicl processes
Ifl itl isl al multinodularl goiterl -l itl willl producel overl productionl of hormones.l Itl mayl bel benignl orl malignant.
Q:l multinodularl goiter
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Answer:
willl producel overl productionl of hormones.l Itl mayl bel benignl orl malignant.
Q:l S/Sl HYPERthyroidism
Answer:
-exophthalmosl (bulgingl ofl thel eyes), l weightl loss l hypertension l Tachycardia l intolerancel ofl heat l edemal tol thel neck l Finel tremors l insomnia
Q:l Medicall treatmentl forl Hyperthyroid
Answer:
Drugl therapy l 2.l radiationl therapy l 3.l surgery l Betal blockersl suchl asl propranololl mayl bel givenl tol relieve
Q:l Radioactivel iodinel therapy
Answer:
-l firstl optionl -Canl bel usedl withl thel thyroidl medicationl orl alone.l Accumulatesl inl thel thyroidl gland,l thenl destroysl thel tissue.l Thisl dosel doesl notl posel al threatl tol others;l exceptl regnantl women.l minimall sidel effectsl includel inflammationl ofl thel thyroidl gland.
Q:l Postl nursingl carel forl thyroidectomy
Answer: 2 / 4
post-op:l voicel mayl bel hoarsel forl 48l hours,l turnl neckl slowly,l monitorl incisionl site,l monitorl labs,l monitorl vitall signs.l Semi-fowler'sl positionl -l tol enhancel respiratoryl statusl &l decreasel edema.l Assesl forl s/sl ofl hypocalcemial +l chvostek's,l trousseau,l laryngospasml - mostl critical,l tetany,l numbness,l tinglingl inl fingertipsl andl toes.l Assessl forl hemorrhage,l respiratoryl distress,l thyroidl storm.l Willl requirel lifelongl thyroidl replacement.l Assessl respiratoryl status.
Q:l Nursingl interventionsl forl hyperthyroid
Answer:
Monitorl labsl (T3l &l T4) l Monitorl weight,l vitall signs l Havel rooml cooll duel tol heatl intolerance l Highl caloriel intakel withl vitaminsl &l minerals.l Givel artificiall tearsl tol keepl eyesl moist.
Q:l Thyroidl storm/crisis
Answer:
Occursl withinl thel firstl 12l hoursl afterl surgery.
Al complicationl relatedl tol al thyroidectomy
Q:l Signsl &l Symptomsl forl thyroidl Storm
Answer:
Duringl thel thyroidl storm,l alll thel symptomsl ofl hyperthyroidisml are exaggerated.l Cardiacl arrhythmiasl mayl occur l restlessness l Extremel Hypertension l delirium
l Extremel Elevatedl templ ex:l 104l orl greater
Q:l Emergencyl treatmentl includes 3 / 4
Answer:
-antithyroidl drugs l Antipyretics l Intravenousl sodiuml iodide l corticosteroids l Beta-adrenergicl drugs l IVl fluids l Oxygen l Coolingl blanket
Q:l Methimazolel (tapazole)
Answer:
Inhibitsl synthesisl ofl thyroidl hormonel byl decreasingl iodinel usel inl manufacturel ofl thyroglobulinl &l iodothyronine.
Q:l Methimazolel (tapazole)l uses
Answer:
hyperthyroidism
Q:l Methimazolel sidel effects
Answer:
drowsiness,l headache,l enlargel thyroid,l nausea,l diarrhea,l jaundice,l hepatitis, nephritis,l bonel marrowl suppression,l thrombocytopenia.
Q:l Methimazolel (tapazole)l nursingl interventions
Answer:
assessl forl signsl &l symptomsl ofl hypothyroidism,l vitall signs,
l labs:l liver
functions,l T3,l T4,TSH,l dailyl weight
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