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TL Hypothyroidism
Hypothyroidism HESI
| Question | Answer |
|---|---|
| Define hypothyroidism (Hashimoto Disease, Myxedema). | hypofunction of the thyroid gland with resulting insufficiency of thyroid hormone |
| Describe the onset and progression of hypothyroidism (Hashimoto Disease, Myxedema). | Early symptoms or hypothyroidism are nonspecific but gradually intensify |
| What is the treatment for hypothyroidism? | Hormone replacement |
| What has caused endemic goiters in certain areas? | Endemic goiters in individuals living in areas where there is a deficit of iodine. Iodized salt has helped prevent this problem |
| List the things than precipitate Myxedema. | acute illness, withdrawal of thyroid medication, anesthesia, use of sedatives, or hypoventilation (with the potential for respiratory acidosis and CO2 narcosis) |
| What is the priority intervention for myxedema? | The airway must be kept patent and ventilator support used as indicated |
| What would the nurse expect to find on the assessment of a patient with hypothyroidism? | Fatigue, thin, dry hair, dry skin, thick-brittle nails, constipation, bradycardia, hypotension, goiter, periorbital edema, facial puffiness, cold intolerance, weight gain, dull emotions, and mental processes |
| What tests are diagnostic for hypothyroidism? | Low T3 below 70, Low T4 below 5, presence of T4 antibody (indicating that T4 is being destroyed by the body) |
| What nursing diagnoses are applicable to the patient with hypothyroidism? | Deficient knowledge, noncompliance, Activity intolerance |
| What recommendations should the nurse make to help the hypothyroidism with constipation? | fluid intake of 3/L day, high fiber diet including fresh fruits and vegetables, increased activity, little or no laxatives |
| Why should we avoid sedating the client with hypothyroidism? | it can lead to respiratory depression |
| What does the client with hypothyroidism need to know about their medication and signs of trouble? | to take a their daily dose of prescribed medication, ongoing follow up to determine serum hormone levels, signs of myxedema coma |
| What are the signs of myxedema? | hypotension, hypothermia, hyponatremia, hypoglycemia, respiratory failure |
| Name 3 thyroid preparations. | Levothyroxine (Synthroid), Liothyronine (Cytomel), Desiccated (Armour Thyroid) |
| What does thyroid medication do? | increase metabolic rates – synthetic T4 |
| What are the adverse reactions associated with Levothyroxine (Synthroid), Liothyronine (Cytomel), and Desiccated (Armour Thyroid)? | Anxiety, Insomnia, Tremors, Tachycardia, Palpitations, Angina, Dysrhythmias |
| What are the nursing responsibilities for the care of the client taking Levothyroxine (Synthroid0, Liothyronine (Cytomel), and Desiccated (Armour Thyroid)? | Check serum hormone levels, BP, and Pulse routinely; Weigh daily, report side effects to health care provider, avoid foods and products containing idodine, initiate cautiously in clients with cardiovascular disease. |
Created by:
Perseverandovercome
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