Nurse 623 Exam 2 Study Guide Questions with Complete Solutions (Latest 2025) What is Hypothyroidism - Correct Answers ✅-inadeqaute amount of thyroid hormone being produced or secreted.-Most common in women ages 30-60 "Hashiamotos"
-Look at T4 levels: normal 100-125 per day
What is a goiter - Correct Answers ✅hypertrophy and hyperplasia of the thyroid gland caused by increasing levels of pituitary TSH Subjective symptoms of Hypothtroidism - Correct Answers ✅" Everythng sluggish" swelling, nausea constipation, menorrhagia, muscle weakness, weight gain, fatigue, lethargy Objective Signs and SYmptoms of hypothyroidism - Correct Answers ✅slowing of mental process/ dul facila expression/ hypoactive bowel sounds/ bradykenesia/ bradycardia/ cardiac enlargement/ pleurel effusion/ decreased fertility Hypothyroidism work up - Correct Answers ✅Baseline screening at age 35.. especially with those pregnant, >60 or autoimmune disease TSH, Free T4 1 / 2
Nurse 623 Exam 2 Study Guide Questions with Complete Solutions (Latest 2025) Antithyroid antibodies to check for thyroiditis
Diagnostic values: TSH high/ T4 low
TSH>10 needs treatment If palpating nodules need US Hypothyroidism treatment - Correct Answers ✅- Synthroid( brand specific and prefered over generic)
-Levothyroxine: overtreatment can cause osteoporosis
-start at 50-100 mcg/day ( 25mcg for elderly) Increase by 25 mcg/day evry 4-6 weeks, max of 300 until TSH in normal reange Complications of treatment with Hypothyroidism - Correct Answers ✅if untreated myexedema....Pt education with Hypothyroidism - Correct Answers ✅- Take med in early am to javoid insomnia -do not take at same time as mineral supplements take 2 hours before ir 4 hours after -Thyroid supplements can increase glucose -may have decreased sensitivity to sedatives/
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