Chapter 37: Drugs Used to Treat Thyroid Disease

Chapter 37: Drugs Used to Treat Thyroid Disease

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which medication is used to treat hyperthyroidism?

A.	Levothyroxine (Synthroid)
B.	Liotrix (Thyrolar)
C.	Propylthiouracil (Propacil)
D.	Liothyronine (Cytomel)

 

 

ANS:   C

 

	Feedback
A	Levothyroxine is used to treat hypothyroidism.
B	Liotrix is used to treat hypothyroidism.
C	Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism.
D	Liothyronine is used to treat hypothyroidism.

 

 

DIF:    Cognitive Level: Knowledge             REF:    590

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

2. A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug interaction with glycosides and thyroid replacement therapy will most likely require which change in therapy?

A.	Decrease in the daily digoxin dosage
B.	Gradual increase in the daily glycoside dosage
C.	Not able to begin thyroid replacement therapy because of the underlying heart condition
D.	Increased thyroid replacement dosage

 

 

ANS:   B

 

	Feedback
A	Decreasing the digoxin would put the patient at risk for cardiovascular complications.
B	If thyroid replacement therapy is started while receiving digoxin, a gradual increase in the glycoside will also be necessary to maintain adequate therapeutic activity.
C	The two treatments can be coordinated.
D	The thyroid medication does not need to be increased.

 

 

DIF:    Cognitive Level: Application             REF:    589

TOP:    Nursing Process Step: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity

 

3. Which nursing diagnosis may be identified for a patient with hyperthyroidism?

A.	Imbalanced Nutrition: More Than Body Requirements
B.	Constipation
C.	Disturbed Sleep Pattern
D.	Ineffective Airway Clearance

 

 

ANS:   C

 

	Feedback
A	The patient with hyperthyroidism is likely to consume less than body requirements.
B	The patient with hyperthyroidism is not likely to be constipated as a result of the disease.
C	Hyperthyroidism is caused by an excess amount of thyroid hormones. Patients typically exhibit the following symptoms: rapid, bounding pulse (even during sleep), cardiac enlargement, palpitations, and dysrhythmias. Patients are nervous and easily agitated. Reflexes are hyperactive and the patient typically experiences insomnia. A nursing diagnosis of Disturbed Sleep Pattern would be a common problem.
D	Ineffective airway clearance is not a common problem of patients with hyperthyroidism.

 

 

DIF:    Cognitive Level: Analysis                  REF:    585

TOP:    Nursing Process Step: Diagnosis

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance

 

4. The nurse is providing instruction to a patient recently prescribed a radioactive iodine isotope. Which is the correct action of this medication?

A.	Stimulates the synthesis of T3 and T4 hormones
B.	Increases the storage of thyroxine before thyroid surgery
C.	Destroys hyperactive thyroid tissue
D.	Replaces deficient thyroid hormone

 

 

ANS:   C

 

	Feedback
A	Radioactive iodine does not stimulate hormone synthesis.
B	Radioactive iodine does not increase hormone storage.
C	The thyroid gland absorbs high concentrations of radioactive iodine, which destroys the hyperactive thyroid tissue with essentially no damage to other tissues in the body.
D	Radioactive iodine does not replace deficient hormones.

 

 

DIF:    Cognitive Level: Comprehension      REF:    589

TOP:    Nursing Process Step: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity