Week 12: Chapter 14/ q1-10 Flashcards
The nurse is discharging a patient with a prescription for a thyroid replacement drug. The nurse should tell the patient to notify his or her prescriber if what signs or symptoms should occur? (select all that apply)
Pulse rate that is 20 beats higher than normal and that lasts for 1 week
Irregular pulse rate
Vomiting
Which actions, side effects, conditions, or problems are associated with perimenopausal hormone replacement drugs? (select all that apply)
- The use of conjugated estrogens lowers the blood levels of follicle-stimulating hormone.
- Patients should be cautioned not to smoke cigarettes while taking these drugs.
- This therapy should be used with caution or not used at all in patients with hypertension.
The nurse is caring for a patient with a thyroid problem. The nurse knows that what factors can trigger a thyroid crisis or thyroid storm? (select all that apply)
Pregnancy
Infection
Trauma
The nurse is instructing a patient about dietary iodine. The nurse tells the patient what items are the most common sources of dietary iodine? (select all that apply)
Saltwater fish
Enhanced salt
The nurse is discharging a patient with a prescription for a thyroid hormone (TH). What body functions are controlled by this type of drug? (select all that apply)
Bone formation
Memory and learning
Respiration
Heart muscle function
The nurse is about to give a thyroid replacement drug to a patient. What administration consideration is important for the nurse to remember?
Give after taking vital signs.
The pharmacy has sent a generic brand of thyroid replacement drug that is different from what the patient takes at home. What should the nurse do next?
Ask the pharmacy to send the same drug brand that the patient takes at home.
The nurse is caring for a patient with Graves’ disease. What is the most common type of disorder related to this disease?
Thyrotoxicosis
Which actions, side effects, conditions, or problems are associated with thyroid-suppressing drugs? (select all that apply)
- Can cause birth defects.
- Patients have an increased risk for infection while taking one of these drugs.
- Any older adult taking one of these drugs along with warfarin should have his or her international normalized ratio (INR) checked weekly.
The nurse is caring for a patient recently diagnosed with hypothyroidism and is prescribed a thyroid hormone replacement drug. What is the most important instruction the nurse needs to give the patient?
If you get chest pain, go to the emergency department (ED) immediately
The nurse is caring for a patient who is taking an endocrine medication. The nurse knows that what type of endocrine medication can cause an increased risk of infection?
Thyroid suppression drugs
The nurse admits a patient to the unit who has a goiter. The nurse knows that a goiter can be a symptom of what conditions? (select all that apply)
Hyperthyroidism
Hypothyroidism
Graves’ disease
Which causes, symptoms, and management strategies are associated with hypothyroidism? (select all that apply)
- Often caused by an infection of the thyroid gland
- Dietary deficiency of iodide can cause a goiter
- Untreated hypothyroidism in infants can lead to mental retardation
- Hypothyroidism is more common in girls and women than in boys and men
- Constipation
The nurse is giving a thyroid-suppressing drug to a patient. How long does it typically take for patients to show improvement with this drug?
3 weeks
The effects of thyroid-suppressing drugs are usually not seen until 3 to 4 weeks after they have been taken daily
The nurse is reviewing care of patients with thyroid disease. The nurse knows that infants, children, and pregnant women who take thyroid hormone replacement drugs need a __drug amount per kilogram of body weight than an adult.
higher
The nurse is discharging a patient who has been given a prescription for a drug to suppress adrenal hormone production. What is the most important point the nurse needs to teach the patient?
To learn the signs and symptoms of adrenal insufficiency.
