NURS 320 Med Surg Final EXAM
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025) Thyroid testing - Correct Answers ✅Physical exam, serum testing, ultrasound, thyroid uptake and scan, biopsy Thyroid uptake and scan test - Correct Answers ✅Contraindicated for pregnancy, lasts 6-8 hours in the body, cannot do if previous iodine was used and wear gloves for secretions Serum TSH hyperthyroidism - Correct Answers ✅Excess T3 and T4 but low TSH (problem is in thyroid not pituitary) Serum TSH hypothyroidism - Correct Answers ✅Decreased T3 and T4 but high TSH (problem is in thyroid not pituitary) Hyperthyroidism manifestations - Correct Answers ✅Everything speeds up, weight loss, diarrhea, tachycardia, hypertension, anxiety, insomnia, high body temperature, exopthalamus Thyroid storm manifestations - Correct Answers ✅Life threatening- First sign is cardiac, tachycardia, heart failure, shock, fever, restlessness, seizures, N/V/D, coma Thyroid storm causes - Correct Answers ✅Stress, surgery, infection, trauma 1 / 4
NURS 320 Med Surg Final EXAM
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025) Hyperthyroidism cause - Correct Answers ✅most common cause is Grave's disease, most common in young females Exopthalamus treatment medications - Correct Answers ✅Tepeeza (1st FDA approved) once every 3 weeks, infusion over 30-60 minutes Exopthalamus treatment- collab care - Correct Answers ✅cool compress, wear sunglasses, elevate HOB, steroids, eye lubricating drops, surgery Thyroid storm treatment - Correct Answers ✅reduce hormones, manifestations and effects of metabolic rate Hyperthyroidism treatment medications - Correct Answers ✅Anti-thyroid (PTU- block T3 and T4), Iodine (shrink thyroid), Beta blockers (for HR and BP), Sedatives (insomnia), Tylenol (fever), Insulin (T3 and T4 increase glucose), oxygen Hyperthyroidism nursing care - Correct Answers ✅cardiac/respiratory assessment is priority, check goiters and vision changes, non-stressful environment, increase calories, eye care, fluids 2 / 4
NURS 320 Med Surg Final EXAM
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025) Thyoidectomy care - Correct Answers ✅Tracheostomy at bed side (swelling could block airway), Assess for bleeding (tachycardia = internal), Semi-fowlers (avoid flexion), check voice every hour, monitor vitals and electrolytes (removal of parathyroid = low Ca+) Hypothyroidism etiology - Correct Answers ✅insufficient circulating hormones, infants screened at birth Hypothyroidism manifestations - Correct Answers ✅everything slows, low temp, low HR, lethargy, alopecia, low libido, constipation, slow metabolism, irregular periods, increased cholesterol, heart failure, myxedema Myxedema - Correct Answers ✅life threatening form of hypothryoidism with exaggerated manifestations, sugars build up, non-pitting edema, swelling/thickening of skin, can lead to respiratory failure Hypothyroidism collab care - Correct Answers ✅low calories, high fiber, fluids, low cholesterol, increase activity, thyroid replacement Myxedema treatment - Correct Answers ✅mechanical ventilation, glucose, IV thryoid, fluid regulation 3 / 4
NURS 320 Med Surg Final EXAM
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025) Rh Factor - Correct Answers ✅An antigen that is sometimes present on the surface of red blood cells Rh + - Correct Answers ✅person has Rh factor on surface of RBCs and can be transfused with Rh- or Rh+ Rh- - Correct Answers ✅Person does not have Rh factor on surface of RBCs and can only be transfused with other Rh- blood Universal Donor - Correct Answers ✅O negative (no antigens) Universal recipient - Correct Answers ✅AB positive Type A+ transfusions - Correct Answers ✅Can give to A+ and AB+, can receive from A+, A-, O+, O- Type A- transfusions - Correct Answers ✅Can give to A+, A-, AB-, and AB+, can receive from A- and O- Recessive blood type allele - Correct Answers ✅O
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