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
If a patient is prescribed to receive glargine and regular insulin, what action should the nurse take?
draw them up separately and administer them in separate syringes
What is a hallmark of thyroid cancer?
elevated serum thyroglobulin
What is the focus of care for a patient following thyroid cancer?
management of hypothyroidism
what may a rising level of thyroglobulin represent?
presence of cancer cells
what is an initial sign of thyroid cancer?
single, painless lump or nodule on the thyroid gland
what are symptoms of hashimotos thyroditis?
dysphagia and painless lump
what fasting glucose is indicative of metabolic syndrome?
> 100
