Exam 2 (last minute) Flashcards
What is a complication of hyperparathyroidism? (why is this a complication?)
fractures (a PTH excess causes calcium to be released from the bones into the blood leaving them less dense)
What lab would we expect to be elevated in a patient with hypothyroidism?
TSH
What is expected with serum calcium levels in a patient with hypoparathyroidism?
decrease calcium
What would be expected in a client who is experiencing thyrotoxicosis?
heat intolerance
(+ sweating, hyperthermia, insomnia, tachycardia)
What may be induced by overdose of levothyroxine?
thyrotoxicosis
What should the nurse assess following a thyroidectomy?
the back of the clients neck
Identify the diagnosis:
- BP: 88/69
- HR: 55
- RR: 12
Client’s family member states, “She hasn’t taken her levothyroxine in about a month because we haven’t had the money to buy it.”
myxedema as a result of uncontrolled hypothyroidism
(s/s hypothyroidism: bradycardia, hypotension, resp failure)
A client post-op from a thyroidectomy develops stridor, what should the nurse do first?
contact provider and prepare for intubation
Why should patients receiving radioactive iodine treatment take a laxative?
to speed excretion of radiation-containing stool
Why should clients increase fiber and fluids following a hypophysectomy?
to reduce the likelihood of them straining (prevent increased ICP)
Why may cortisone/prednisone lifelong treatment be prescribed to a patient with hypopituitarism?
if their ACTH was affected, this would act as a replacement for the body’s production
What condition may require a lifelong medication treatment of somatropin?
hypopituitarism (specifically if growth hormone is low)
what are some risk factors for the development of HHS?
- MI (stress)
- decreased kidney function
- old age
How can DKA be prevented?
- 2L fluid/day
- monitor BG every 4hr when ill
- insulin as prescribed even when sick
- notify provider if ketones in urine after 24 hrs of illness
What would be an appropriate action for administration of aspart insulin for a diabetic pt?
administer when breakfast arrives
