Deck 68: Pharmacotherapy of Thyroid Disorders

Question 1

Drugs that accelerate the metabolism of levothyroxine include:
1)Calcium.
2)Warfarin.
3)Phenytoin.
4)Antacids.

Answer 1

3

Question 2

To detect malignancy of a thyroid nodule, the nurse would prepare the patient for:
1)Ultrasound.
2)X-ray.
3)Thyroid scanning.
4)Needle biopsy.

Answer 2

4

Question 3

The preferred laboratory value for diagnosing and monitoring the progression of thyroid disease is:
1)TSH.
2)T₃.
3)T₄.
4)I₁₃₁.

Answer 3

1

Question 4

Manifestations of myxedematous coma include: (Select all that apply.)
1)Puffy face and eyes
2)Tachycardia
3)Hyperthermia
4)Hypoglycemia
5)Hypoventilation

Question 5

One of the strongest stimuli for an increase in thyroid hormone production is:
1)Hunger.
2)Ongoing infection.
3)Exposure to cold.
4)Hypocalcemia.

Question 6

The nurse would anticipate the patient with hyperthyroidism to exhibit which symptoms?
1)Weight gain
2)Hypertension
3)Bradycardia
4)Hypothermia

Question 7

The nurse would question the use of Synthroid in which patient?
1)The pregnant patient
2)The patient allergic to aspirin
3)The patient allergic to shellfish
4)A child under 2

Question 8

The nurse would anticipate elevated levels of circulating T₃ and T₄ in the client with:
1)Hemolytic anemia.
2)Thrombocytopenia.
3)Hypoalbuminemia.
4)Leukopenia.

Question 9

In children with cretinism, the duration of thyroid replacement is expected to be:
1)Until symptoms disappear.
2)For the first year of life.

3)For three years.
4)Until puberty.

Question 10

The nurse would anticipate the patient with hypothyroidism to exhibit which symptom?
1)Weight loss
2)Hypertension
3)Heat intolerance
4)Constipation

Question 11

The nurse knows the most visible signs of Graves' disease are goiter and exopthalamos.Exopthalamos is:
1)Excessive heat production.
2)Hypertrophy of the thyroid gland.
3)Outward bulging of the eyes.
4)Skin thickening with plaques.

Question 12

The nurse is instructing the patient taking levothyroxine (Synthroid)that full therapeutic benefits will be seen:
1)Immediately.
2)Within 24 hours.
3)Within 3-5 days.
4)In 1-3 weeks.

Question 13

What is the pathophysiologic etiology of cretinism?
1)Hypercalcemia from thyroid hyperplasia
2)Congenital absence of the thyroid gland
3)Hypofunction of the thyroid gland
4)Lack of iodine replacement

Question 14

Body tissues that do not depend on thyroid hormones to stimulate the metabolic rate include the: (Select all that apply.)
1)Brain.
2)Anterior pituitary.
3)Kidneys.
4)Lungs.
5)Testes.

Question 15

The anterior pituitary secretes which hormone in response to decreased levels of T₃ and T₄?
1)Thyrotropin-releasing hormone
2)Thyroid-stimulating hormone
3)Tri-iodothyronine
4)Thyroxine