Hyperthyroidism

Question 1

Physical and Lab findings

-Hypermetabolism

Answer 1

1. Weight loss
2. Insomnia
3. Increased systolic BP
4. Increased Temp
5. T3 and T4 are increased

Question 2

Graves’ disease

-Manifestations

Answer 2

1. Skin, hair, and nails are THINNER
2. Fatigue
3. Difficulty carrying out ADL’s

Question 3

Contraindications for HF hx

Answer 3

1. Propranolol (B-blokers)
2. Verapamil
   Should not be given w/ hx of HF because it can make it worse

Question 4

Priority Problems w/ hyperthyroidism

Answer 4

1. Inadequate nutrition
2. Disease education
3. Hyperthermia
4. Decreased cardiac output –arrhythmias

Question 5

Thyroid Storm

Answer 5

1. Restless
2. Disoriented to person, place, and time
3. High RR, HR, BP, and Temp

Medical emergency.. call Rapid Response

Question 6

Thyroid Storm

-Caring Interventions

Answer 6

1. Monitor Fluid and electrolyte status
2. Decrease body Temp
3. Give all ordered medications to reduce HR and arrhythmias

Question 7

Thyroid Storm

-Precipitating factors

Answer 7

1. Infection / Loss of wife
2. STRESSORS contribute to thyroid storm
3. Stopping a medication can cause Thyroid storm

Question 8

Teaching instructions after subtotal thyroidectomy

Answer 8

1. Watch for infection

Question 9

RAI therapy precautions

Answer 9

1. Minimize sharing body fluids during treatment

Question 10

Hyperthyroidism

Risk factors

Answer 10

1. Women
2. Increased Iodine intake
3. Age between 20 and 40 years old

Question 11

Hyperthyroidism

-Manifestations

Answer 11

1. Heat intolerance
2. Insomnia
3. Double vision
4. Nervousness