Chap 31 (exam 3)

Question 1

The type of hypothyroidism that results from insufficient secretion of thyroid-stimulating hormone (TSH) from the pituitary gland

Answer 1

Secondary

Question 2

The principal thyroid hormone that influences the metabolic rate

Answer 2

Thyroxine

Question 3

The type of hypothyroidism that is due to the inability of the thyroid gland to perform a function

Answer 3

Primary

Question 4

The most commonly prescribed synthetic thyroid hormone

Answer 4

Levothyroxine

Question 5

Excessive secretion of thyroid hormones

Answer 5

Hyperthyroidism

Question 6

A drug used to treat hyperthyroidism

Answer 6

Propylthiouracil

Question 7

The type of hypothyroidism that stems form reduced secretion of thyrotropin-releasing hormone from the hypothalamus

Answer 7

Tertiary

Question 8

Another name for TSH

Answer 8

Thyrotropin

Question 9

A patient who is beginning therapy with levothyroxine (Synthroid) asks the nurse when the medication will start working. What is the nurse's best answer?
Immediately
Within a few days
Within a few weeks
Within a few months

Answer 9

Within a few weeks

Question 10

A patient wants to switch brands of levothyroxine (Synthroid). What is the nurse’s best response?
“If you do this, you should reduce the dosage of your current brand before starting the new one”
“Levothyroxine has been standardized, so there is only one brand”
“It shouldn’t matter if you switch brands; they are all very much the same”
“You should check with your provider before switching brands”

Answer 10

“You should check with your provider before switching brands”

Question 11

Patient teaching for a patient taking antithyroid medication will include the need to avoid which foods?
Soy products and seafood
Bananas and oranges
Dairy products
Processed meats and cheeses

Answer 11

Soy products and seafood

Question 12

Which information needs to be included in the nurse’s teaching of patients taking thyroid medications? Select all that apply:

• Keeping a log or journal of individual responses and a graph of pulse rate, weight, and moos would be helpful
• The medication will be discontinues if the adverse effects become to strong
• The medication needs to be taken at the same time every day
• Nervousness, irritability, and insomnia may be a result of a dosage that is too high
• Take thyroid replacement drugs after meals

Answer 12

• Nervousness, irritability, and insomnia may be a result of a dosage that is too high
• The medication needs to be taken at the same time every day
• Keeping a log or journal of individual responses and a graph of pulse rate, weight, and moos would be helpful

Question 13

A patient is schedules for a radioactive isotope study. The scheduling nurse notes that he takes levothyroxine (Levothroid) daily. Which medication order needs to be made before the radioactive isotope study is scheduled?
Continue to take the levothyroxine as ordered
Do not take the levothyroxine on the morning of the test
Stop the levothyroxine about 4 weeks before the test
Reduce the levothyroxine dosage by one half 1 week before the test

Answer 13

Stop the levothyroxine about 4 weeks before the test

Question 14

The nurse has been providing patient education regarding thyroid hormone replacement therapy. Which statement by the patient reflects a need for further teaching?
“I will take this pill in the mornings”
“Somethines this medication can make my heart skip beats, but that’s a normal side effect”
“I need to take this pill on an empty stomach, and wait about 30-60 minutes before eating”
“I will be sure to go to the clinic to have my thyroid levels tested regularly”

Answer 14

“Somethines this medication can make my heart skip beats, but that’s a normal side effect”