1. Which of the following is not allowed after thyroidectomy?*1 pointA. SwallowingB. ReadingC. hyperextending the neckD. going to the bathroomSituation 1: Linda a 65-year-old widow was rushed to the emergency for severe headache and hypertension. Endocrinologist diagnosed Linda with Cushing’s disease. The following questions refers to this situation:2. Which of the following is the primary cause of hyperaldosteronism? *1 pointA. Excessive sodium intakeB. A pituitary adenomaC. Deficient potassium intakeD. An adrenal tumor3. Which of the following manifestation should the nurse expect in client with Cushing’s disease just like with Linda except?*1 pointA. buffalo humpB. moonfaceC. truncal obesityD. weight gain of the extremities4. Linda asks the nurse what food she should eat to prevent complications brought by her disease. The nurse would be correct by suggesting that Linda should consume the following except:*1 pointA. apple and avoid potato chipsB. eggplant and avoid salted fish pasteC. grapes and avoid dried fishD. canned goods and avoid raw foods5. Linda is schedule for surgical incision of the tumor that causes her overproduction of steroids. The nurse should that the surgical procedure that should be done to Linda could be:*1 pointA. Frontal boring hypophysectomyB. hypophysectomyC. AdrenalectomyD. Transsphenoidal hypophysectomy6. To prevent complication post-op the nurse should position Linda to:*1 pointA. Semi fowler’sB. High fowler’sC. flat in bedD. Supine7. The nurse should closely observe for common complications after the surgical incision of the tumor except:*1 pointA. increase intracranial pressureB. diabetes insipidusC. tracheal compressionD. rhinorrhea8. The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer: *1 pointA. 15 to 20 g of a fast-acting carbohydrate such as orange juice.B. I.V. bolus of dextrose 50%.C. I.M. or subcutaneous glucagon.D. 10 U of fast-acting insulin.Situation 2: Lando a 44 male teacher, was admitted to Hospital ng Dumangas with anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty". Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6-hr radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse would suspect that Lando’s case could be hyperthyroidism. The following questions refer to this situation:9. Autoimmune type of hyperthyroidism is also known as:*1 pointA. ThyroiditisB. Hashimoto's thyroiditisC. Graves' diseaseD. Multinodular goiter10. The nurse explains to Lando with thyroid disease that the thyroid gland normally produces except?*1 pointA. Tri-iodotyronineB. Thytroid releasing hormoneC. CalcitoninD. Thyroxine11. Hyperthyroidism is caused by increased levels of thyroid hormones in blood plasma which causes:*1 pointA. Increase oxygenation of cells and organsB. Increase hydration of cells and organsC. Decrease oxygenation of cells and organsD. Decrease hydration of cells and organs12. in assessing the the condition of the thyroid gland, which of the following is not included?*1 pointA. InspectionB. PercussionC. AuscultationD. Palpation13. The nurse is assessing Lando. What findings should the nurse expect? SATA:A. Weight gainB. Constipation C. Lethargy D. DiarrheaE. Fine tremorsF. IrritabilityG. Heat intoleranceH. Hypertension I. ExophthalmosJ. Cold intolerance K. tachycardia*1 pointA. ABCDB. GHIJC. ALL OF THE ABOVED. DEFGHIK14. Based on history and physical findings, examination of Lando reveals exophthalmos, a classic sign of Graves' disease. To prevent complications caused by exopthalmus the nurse is aware that:*1 pointA. Patching both eyes during day time is necessary to protect them from UV raysB. Sunglasses should be worn with day time activitiesC. Applying topical steroids to prevent inflammationD. Providing day time naps will help lessen eye irritation and itching15. hen caring for Lando who's being treated for hyperthyroidism, it's important to: *1 pointA. provide extra blankets and clothing to keep the client warmB. monitor signs of restlessness, and excessive weight loss during thyroid replacement therapyC. balance the client's periods of activity and restD. encourage the client to be active to prevent constipation
Question
- Which of the following is not allowed after thyroidectomy?*1 pointA. SwallowingB. ReadingC. hyperextending the neckD. going to the bathroomSituation 1: Linda a 65-year-old widow was rushed to the emergency for severe headache and hypertension. Endocrinologist diagnosed Linda with Cushing’s disease. The following questions refers to this situation:2. Which of the following is the primary cause of hyperaldosteronism? *1 pointA. Excessive sodium intakeB. A pituitary adenomaC. Deficient potassium intakeD. An adrenal tumor3. Which of the following manifestation should the nurse expect in client with Cushing’s disease just like with Linda except?*1 pointA. buffalo humpB. moonfaceC. truncal obesityD. weight gain of the extremities4. Linda asks the nurse what food she should eat to prevent complications brought by her disease. The nurse would be correct by suggesting that Linda should consume the following except:*1 pointA. apple and avoid potato chipsB. eggplant and avoid salted fish pasteC. grapes and avoid dried fishD. canned goods and avoid raw foods5. Linda is schedule for surgical incision of the tumor that causes her overproduction of steroids. The nurse should that the surgical procedure that should be done to Linda could be:*1 pointA. Frontal boring hypophysectomyB. hypophysectomyC. AdrenalectomyD. Transsphenoidal hypophysectomy6. To prevent complication post-op the nurse should position Linda to:*1 pointA. Semi fowler’sB. High fowler’sC. flat in bedD. Supine7. The nurse should closely observe for common complications after the surgical incision of the tumor except:*1 pointA. increase intracranial pressureB. diabetes insipidusC. tracheal compressionD. rhinorrhea8. The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer: *1 pointA. 15 to 20 g of a fast-acting carbohydrate such as orange juice.B. I.V. bolus of dextrose 50%.C. I.M. or subcutaneous glucagon.D. 10 U of fast-acting insulin.Situation 2: Lando a 44 male teacher, was admitted to Hospital ng Dumangas with anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty". Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6-hr radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse would suspect that Lando’s case could be hyperthyroidism. The following questions refer to this situation:9. Autoimmune type of hyperthyroidism is also known as:*1 pointA. ThyroiditisB. Hashimoto's thyroiditisC. Graves' diseaseD. Multinodular goiter10. The nurse explains to Lando with thyroid disease that the thyroid gland normally produces except?*1 pointA. Tri-iodotyronineB. Thytroid releasing hormoneC. CalcitoninD. Thyroxine11. Hyperthyroidism is caused by increased levels of thyroid hormones in blood plasma which causes:*1 pointA. Increase oxygenation of cells and organsB. Increase hydration of cells and organsC. Decrease oxygenation of cells and organsD. Decrease hydration of cells and organs12. in assessing the the condition of the thyroid gland, which of the following is not included?1 pointA. InspectionB. PercussionC. AuscultationD. Palpation13. The nurse is assessing Lando. What findings should the nurse expect? SATA:A. Weight gainB. Constipation C. Lethargy D. DiarrheaE. Fine tremorsF. IrritabilityG. Heat intoleranceH. Hypertension I. ExophthalmosJ. Cold intolerance K. tachycardia1 pointA. ABCDB. GHIJC. ALL OF THE ABOVED. DEFGHIK14. Based on history and physical findings, examination of Lando reveals exophthalmos, a classic sign of Graves' disease. To prevent complications caused by exopthalmus the nurse is aware that:*1 pointA. Patching both eyes during day time is necessary to protect them from UV raysB. Sunglasses should be worn with day time activitiesC. Applying topical steroids to prevent inflammationD. Providing day time naps will help lessen eye irritation and itching15. hen caring for Lando who's being treated for hyperthyroidism, it's important to: *1 pointA. provide extra blankets and clothing to keep the client warmB. monitor signs of restlessness, and excessive weight loss during thyroid replacement therapyC. balance the client's periods of activity and restD. encourage the client to be active to prevent constipation
Solution
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The action that is not allowed after a thyroidectomy is C. hyperextending the neck. This can put strain on the surgical site and potentially cause complications.
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The primary cause of hyperaldosteronism is D. An adrenal tumor. This can cause the adrenal gland to produce too much aldosterone, leading to high blood pressure and other symptoms.
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The manifestation that the nurse should not expect in a client with Cushing’s disease is D. weight gain of the extremities. Cushing's disease typically causes weight gain in the upper body and torso, but not the extremities.
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The food that Linda should avoid to prevent complications from her disease is D. canned goods. These often contain high levels of sodium, which can exacerbate symptoms of Cushing's disease.
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The surgical procedure that should be done to Linda could be C. Adrenalectomy. This involves removing the adrenal gland, which is overproducing steroids in Linda's case.
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To prevent complications post-op, the nurse should position Linda in A. Semi fowler’s position. This can help reduce swelling and improve breathing.
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The nurse should not expect to observe D. rhinorrhea as a common complication after the surgical incision of the tumor. This symptom is not typically associated with this type of surgery.
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The nurse should first administer A. 15 to 20 g of a fast-acting carbohydrate such as orange juice to a client with type 1 diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior.
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The autoimmune type of hyperthyroidism is also known as C. Graves' disease.
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The thyroid gland does not normally produce B. Thyroid releasing hormone. This hormone is actually produced by the hypothalamus in the brain.
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Hyperthyroidism is caused by increased levels of thyroid hormones in blood plasma which causes A. Increase oxygenation of cells and organs.
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In assessing the condition of the thyroid gland, B. Percussion is not included.
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The nurse should expect to find the following symptoms in Lando: D. Diarrhea, E. Fine tremors, F. Irritability, G. Heat intolerance, H. Hypertension, I. Exophthalmos, and K. tachycardia. So, the answer is D. DEFGHIK.
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To prevent complications caused by exophthalmus, the nurse should be aware that B. Sunglasses should be worn with day time activities.
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When caring for Lando who's being treated for hyperthyroidism, it's important to C. balance the client's periods of activity and rest.
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