Deck 67: Pharmacotherapy of Thyroid Disorders

Question 1

A client is diagnosed with a thyroid hormone imbalance.The nurse recognizes that the body tissues that do not depend on thyroid hormones to stimulate the metabolic rate include the:
Select all that apply.

A)anterior pituitary.
B)lungs.
C)brain.
D)kidneys.
E)testes.

Answer 1

anterior pituitary.
lungs.
brain.
testes.

Question 2

To detect malignancy of a thyroid nodule,the nurse would prepare the client for:

A)thyroid scanning.
B)ultrasound.
C)needle biopsy.
D)x-ray.

Answer 2

needle biopsy.

Question 3

The nurse,learning that a client's thyroid hormone is elevated,recognizes that one of the strongest stimuli for an increase in thyroid hormone production is:

A)hunger.
B)exposure to cold.
C)ongoing infection.
D)hypocalcemia.

Answer 3

exposure to cold.

Question 4

A client is receiving thyroid hormone replacement therapy which increases the number of beta₁- and beta₂-adrenergic receptors.The nurse knows that this increase in receptors will make the receptors more responsive to which neurotransmitters?
Select all that apply.

A)Norepinephrine
B)Epinephrine
C)Dopamine
D)Serotonin
E)Melatonin

Question 5

Which laboratory value will the nurse monitor to determine the progression of a thyroid disease in a client?

A)TSH
B)T3
C)Iodine
D)T4

Question 6

A client is diagnosed with primary hypothyroidism.Which laboratory tests were used to aid in this diagnosis?
Select all that apply.

A)Serum T4 level
B)TSH level
C)Serum calcium
D)Serum potassium
E)Serum iodine level

Question 7

The nurse would anticipate the client with hyperthyroidism to exhibit which symptom?

A)Hypothermia
B)Bradycardia
C)Weight gain
D)Hypertension

Question 8

The nurse knows the most visible signs of Graves disease are goiter and exophthalmos.Exophthalmos is:

A)excessive heat production.
B)skin thickening with plaques.
C)hypertrophy of the thyroid gland.
D)outward bulging of the eyes.

Question 9

The nurse would anticipate the client with hypothyroidism to exhibit which symptom?

A)Constipation
B)Heat intolerance
C)Weight loss
D)Hypertension

Question 10

The nurse would monitor carefully the client concurrently taking levothyroxine (Synthroid)and:

A)aspirin.
B)vitamin B₁₂ supplementation.
C)warfarin.
D)penicillin.

Question 11

Why is a client prescribed intravenous hydrocortisone (Solu-Cortef)as part of the treatment for thyroid storm?
Select all that apply.

A)Steroids block the conversion of T4 to T3 in peripheral tissues.
B)IV corticosteroids serve as replacement for corticosteroids in the body.
C)Steroids reduce the TSH level.
D)Steroids help maintain the blood pressure.
E)Steroids are used to stabilize the heart rate.

Question 12

The nurse would anticipate elevated levels of circulating T3 and T4 in the client with:

A)leukopenia.
B)thrombocytopenia.
C)hypoalbuminemia.
D)hemolytic anemia.

Question 13

The nurse instructs a client with hypothyroidism about medications that accelerate the metabolism of levothyroxine,including:

A)warfarin.
B)phenytoin.
C)digoxin.
D)calcium.

Question 14

The nurse is concerned that a client is developing myxedema coma after assessing which symptoms?
Select all that apply.

A)Puffy face and eyes
B)Tachycardia
C)Hypoglycemia
D)Hyperthermia
E)Hypoventilation

Question 15

How would the nurse explain the pathophysiologic etiology of cretinism to a client's family?

A)Lack of iodine replacement
B)Hypercalcemia from thyroid hyperplasia
C)Congenital hypofunction of the thyroid gland
D)Hypersecretion of the thyroid in the first six months of life

Question 16

The nurse is reviewing the results of a client's laboratory studies to find the level of an important chemical that must be available to assist in the synthesis of thyroid hormones,or:

A)cortisol.
B)iodide.
C)calcitonin.
D)iodine.

Question 17

For which client would the nurse the use of levothyroxine (Synthroid)?

A)A child under 2
B)A pregnant client
C)A client allergic to shellfish
D)A client allergic to aspirin

Question 18

The nurse is instructing a client taking levothyroxine (Synthroid)that full therapeutic benefits will be seen:

A)immediately.
B)within 3-5 days.
C)in 1-3 weeks.
D)within 24 hours.

Question 19

The nurse should instruct the parents of a client with cretinism that the duration of thyroid replacement is expected to be:

A)3 years.
B)The first year of life.
C)Until puberty.
D)Until symptoms disappear.

Question 20

A client is diagnosed with hyperthyroidism.The nurse will prepare to administer which medications as routine treatment of this disorder.
Select all that apply.

A)Propylthiouracil (PTU)
B)Methimazole (Tapazole)
C)Propranolol (Inderal)
D)Esmolol (Brevibloc)
E)Metoprolol (Toprol)

Question 21

What foods should the nurse instruct a client to avoid when taking thyroid replacement medication?
Select all that apply.

A)Soy sauce
B)Yogurt
C)Milk
D)Strawberries
E)Red meat

Question 22

What should the nurse instruct a client who is prescribed propylthiouracil (PTU)?
Select all that apply.

A)A rash can occur when taking this medication."
B)Contact your health care provider with any changes in urine output at home."
C)You might experience a headache."
D)You might experience vertigo when taking this medication."
E)Nausea and vomiting are side effects of this medication."

Question 23

A client is being treated with radioactive iodine.What should the nurse instruct the client about this treatment?
Select all that apply.

A)Tell family to visit for only 1 hour per day per person.
B)Ask pregnant family members not to visit.
C)Increase fluid intake up to 2 liters per day.
D)Limit the intake of all protein products.
E)Keep a wastebasket at the bedside to dispose of used tissues.