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HESI Case Study: Thyroid Disorders Questions
And Correct Detailed Answers (Verified Answers) Already Graded A+.
- The client tells the nurse she has a hard time taking medications regularly. She asks
- Which information in the client's history would be of concern to the nurse related to
how long she will need to take the Levothyroxine. What is the nurse's best response?• Correct Answer: You will need to take this medication for the remainder of your life.
the use of levothyroxine?• The client has an allergy to Non-steroidal anti-inflammatories (NSAIDS) medications.
• The client eats her last meal of the day around 7:00 p.m.
• The client takes a daily calcium supplement.• The client prefers to take her medications with a full glass of water.
• Correct Answer: The client takes a daily calcium supplement.
- Which approach by the nurse describes the action of the levothyroxine?
• Correct Answer: Increases fat, protein, carbohydrate metabolism.
- What is the client's daily dose of medication? (Enter numerical value only. If
rounding is necessary, round to the hundredth.)
• Correct Answer: 0.115
- Which symptoms are the client with hypothyroidism most likely to exhibit? (Select
all that apply.) • Tachycardia and palpitations.• Somnolence and fatigue.• Coarse dry skin.
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• Somnolence and cold intolerance.• Diarrhea and weight loss.• Correct Answer: Somnolence and fatigue; Coarse dry skin; Somnolence and cold intolerance.
- The client asks the nurse how she got this disease. Which explanation by the nurse
is accurate?
• Correct Answer: An autoimmune dysfunction causes thyroid dysfunction.
- Based on the health care provider's (HCP) assessment and interpretation of the
diagnostics, the client is diagnosed with hypothyroidism. Which other lab should be monitored after the diagnosis of hypothyroidism is confirmed?
• Correct Answer: Triglycerides and cholesterol.
- Based on the client's history and presenting symptoms, which additional diagnostic
tests does the nurse anticipate the HCP to order? (Select all that apply.) • CBC with differential.• Blood Chemistries.• TSH and free T4.• Chest X-ray (CXR).• Arterial blood gases (ABG's).
• Correct Answer: CBC with differential; Blood Chemistries; TSH and free T4.
- The client has signed the consent for the radioactive iodine uptake test. What are
the most important assessments for the nurse to obtain prior to the test? (Select all that apply.) • Ask if the client has been taking any OTC medications such as cough syrups?• Determine if the client has eaten in the past 4 hours.• Investigate the client's use of over the counter (OTC) multivitamin and herbal products.• Find out if the client has ever had a reaction to a bee sting.• Assess the client's history for allergic reaction to peanuts.
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• Correct Answer: Ask if the client has been taking any OTC medications such as cough syrups?; Investigate the client's use of over the counter (OTC) multivitamin and herbal products; Find out if the client has ever had a reaction to a bee sting.
- The client's presenting vital signs: Temperature: 96.0° F (36.0° C) Pulse: 52
- Which instructions should the nurse include when teaching the client about
- Prior to the administration of each dose of levothyroxine, it is important to obtain
beats/minute Respirations: 18 breaths/minute Blood pressure: 140/80 mmHg. Given the initial history and vital signs, what other questions should the nurse ask? (Select all that apply.) • "Have you had any changes in your bowel habits?" • "Have you noticed an increase in urinary frequency?" • "Do you still feel sleepy when you wake up in the mornings despite getting a good night's sleep?" • "Have you noticed any changes in your hair or nails?" • "Do you think your weight gain is because you eat too much?" • Correct Answer: "Have you had any changes in your bowel habits?"; "Do you still feel sleepy when you wake up in the mornings despite getting a good night's sleep?"; "Have you noticed any changes in your hair or nails?"
levothyroxine sodium? (Select all that apply.) • This medication should be is taken twice a day with food.• This medication requires periodic lab work to monitor levels.• When refilling this medication, ask the pharmacist for the least expensive brand of the medication.• Report chest pain, a rapid heartbeat, or increased nervousness to the HCP.• Wear a medical alert bracelet.• Correct Answer: This medication requires periodic lab work to monitor levels; Report chest pain, a rapid heartbeat, or increased nervousness to the HCP; Wear a medical alert bracelet.
which assessments? (Select all that apply.) • Administer the medication prior to eating breakfast.
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• Record blood glucose.• Ensure that the heart rate is less than 100.• Record intake for the past 12 hours.• Assess the client's bowel sounds.• Correct Answer: Administer the medication prior to eating breakfast; Ensure that the heart rate is less than 100.
- Which behavior indicates to the nurse that the client understands the instructions
- The client reports to the nurse that she took an antidepressant for several months
related to the new medication?• Correct Answer: Eugena states that she will need to notify the HCP of any chest pain.
and because of how she's feeling, she'd like to restart her medication. Which is the most important advice by the nurse?
• Correct Answer: Advise her to check with the HCP first.
- Based on the diagnosis of hypothyroidism, what condition does the nurse suspect
the client is experiencing?
• Correct Answer: Myxedema crisis.
- Upon admission, the nurse should give the highest priority to meeting which need
- Eugena's blood gases are as follows: pH: 7.33, pCO2: 50, PaO2: 99, HCO3: 24.
of a client who is brought to the ED with Myxedema crisis? (Select all that apply.) • Assess cardiac system.• Insert a Foley catheter • Ask about current immunizations and medications.• Start an IV of Normal Saline at prescribed rate.• Cover the client with warm blankets.• Correct Answer: Assess cardiac system; Start an IV of Normal Saline at prescribed rate; Cover the client with warm blankets.
Based on the nurse's assessment of these labs which finding accurately describes the results?
