GAITH Thyroidectomy Flashcards
(14 cards)
1
Q
- A patient returned to the Surgical Unit from the thyroidectomy. The nurse observed that the arousable. Blood
pressure 90/60 mmHg Heart rate 108 /min What immediate action should the nurse take?
A. Recheck pulse and blood pressure
B. Administer intravenous fluids as ordered
C. Place client in modified Trendelenburg’s
D. Assess the back of neck surgical dressing for bleeding
A
d
2
Q
- Complication of thyroidectomy
A. Distension
B. Bleeding
C. Vocal cord injury
A
B
3
Q
- progressive enlargement of a multi-nodular go tracheal compression including pain at the site of
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the ear and jaw, difficulty swallowing, change of pf breath by compressing the oesophagus. There is in otherwise the
patient is at risk. What is the preferred treatment?
A. Iodine treatment
B. Thyroid hormone treatment
C. Radioactive iodine treatment
D. Surgical resection of abnormal thyroid
A
D
4
Q
- A Post thyroidectomy patient transferred to ward and developed tetany the nurse suspected that patient has ?
A. Hypokalemia
B. Hypocalcemia
C. Hyponatremia
A
B
5
Q
- A nurse Wayne is aware that a positive Chvostek’s sign indicate
A. Hypocalcemia
B. Hyponatremia
C. Hypokalemia
D. Hypermagnesemia
A
A
6
Q
- Trousseau’s sign A sign of hypocalcemia. Carpal spasm can be elicited by
compressing the brachial artery with a blood pressure cuff for 3 minutes.
A
7
Q
- Chvostek’s sign A sign of hypocalcemia. A spasm of the facial muscles elicited by
tapping the facial nerve just anterior to the ear
A
8
Q
- Patient is being admitted to the Recovery Room following a thyroidectomy. The back of the neck wound is
covered with dressing. During the first 15 minutes, the patient started working and having diarrhea . A general
assessment is performed with special attention given for the high risk for haemorrhage . Where would bleeding
most likely occur?
A. Stool
B. Vomitus
C. Dressing
D. Back of neck
A
D
9
Q
- A 29 year-old man is in the Surgical Ward on his first post-operative thyroidectomy. He appears drowsy but the
he is able to respiration by nodding head. He is developing mild restlessness. What is the initial recommended
goal of care?
A. Monitor vital signs of thyroid storm
B. Assess for bilateral vocal fold mobility
C. Monitor for swelling on the neck
D. Monitor for vocal cord paralysis
A
A
10
Q
- A nuclear plant experienced a leakage, and all involved workers were brought to the Emergency Department for
treatment . the medical team prescribed potassium iodide for the workers to block radioactive iodine to be
absorbed by an organ in the body. Which of the following organs is the most sensitive to radioactive iodine?
A. Brain
B. Lungs
C. Kidney
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D. Thyroid
A
D
11
Q
- The nurse care for a 60 year old woman who history hypertension, hypothyroidism and elevated cholesterol
levels. She takes tablets daily for each of the health problem. The doctor orders a routine dual- x-ray
absorptiometry test that shows decrease bone density. Which medication most likely contributed the test
result?
A. Statins
B. Anti-hypertensive
C. Synthetic thyroid hormones
D. Cholesterol absorption inhibitors
A
C
12
Q
- A 36 years old man ha undergone a subtotal thyroidectomy ago. he Is suspected to develop tetany after the
surgery. Which of the following symptoms best indicates tetanus?
A. Tingling in the fingers
B. Pain in hands and feet
C. Tension on the suture lines
D. Bleeding on the back of the dressing
A
A
13
Q
- The nurse is assessing 50 year old woman whose thyroid enlarged. A blood sample was collected and an analysis
confirm diagnosis.
TSH 0.12 normal 0.4-6.5
Free 210 normal 50-140.
Thyroxin T4 normal 4.5-11.2
A. Thyroidectomy
B. Incision and drainage
C. polythyroidectomy
D. adrenalectomy
A
A
14
Q
A
