Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
$2.99
Chapter 47: Thyroid and Parathyroid Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Both tests show decreases. |
| b. | Both tests show increases. |
| c. | The T3 test elevates, and the T4 test decreases. |
| d. | The level of thyroxin rises and then falls back to subnormal levels. |
ANS: A
These complaints are strongly suggestive of thyroid disorder; T3 and T4 laboratory diagnostic tests are the most useful.
DIF: Cognitive Level: Knowledge REF: p. 1038 | p. 1047
OBJ: 2 TOP: Thyroid Diagnostic Tests
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance
| a. | Sip medication through a straw to prevent tooth staining. |
| b. | Double the dose if a dose is missed. |
| c. | Expect excessive salivation. |
| d. | Take before meals. |
ANS: A
SSKI can discolor teeth if not sipped through a straw; no iodide drug should be doubled; excessive salivation is a sign of toxicity; and the medication should be taken after meals.
DIF: Cognitive Level: Comprehension REF: p. 1040 OBJ: 1
TOP: SSKI KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | Taking “cat naps” during the day |
| b. | Adhering to a bedtime ritual |
| c. | Drinking a cup of cocoa before bedtime |
| d. | Performing mild prebedtime exercises |
ANS: B
Bedtime rituals such as a warm bath, reading, and listening to music cue the body for sleep. Naps during the day may make nighttime sleep difficult; exercising and drinking caffeine-filled drinks are stimulating and should be avoided by the person with insomnia.
DIF: Cognitive Level: Comprehension REF: p. 1042 OBJ: 3
TOP: Hyperthyroidism Insomnia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Provision of a special container to collect urine for the next 24 hours |
| b. | Wear a protective apron to shield him or her from radiation for the next 24 hours |
| c. | Request that visitors keep a distance of at least 6 feet away for the next 24 hours |
| d. | Wash their hands with soap and water after every voiding for the next 24 hours |
ANS: D
The patient needs to be instructed to use soap and water to wash his or her hands after each voiding for the next 24 hours. If caregivers discard the urine, gloves should be worn and then washed and removed. Caregivers should wash their hands after glove removal.
DIF: Cognitive Level: Application REF: p. 1039 OBJ: 2
TOP: Thyroid Diagnostic Tests KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
| a. | “It means that you have an inconsistency in your thyroid tests, and you will need more testing.” |
| b. | “I am sorry. You will have to ask your physician about your laboratory results. We are not allowed to discuss them.” |
| c. | “The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn’t producing enough hormone.” |
| d. | “That means that you will have to go on hormone therapy for the rest of your life.” |
ANS: C
The test determines whether the problem is in the pituitary gland or in the thyroid gland. In this patient, the high level of TSH is coming from the pituitary gland as it should, but the thyroid gland is not responding with adequate hormone production.
DIF: Cognitive Level: Comprehension REF: p. 1036 OBJ: 2
TOP: Thyroid Laboratory Tests KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $200.00.$150.00Current price is: $150.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
