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Which of the following conditions is characterized by renal calculi and osteopenia?
Hyperparathyroidism
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Renal calculi in pt with hyper parathyroidism is caused by an excessive accumulation of?
Calcium and Phosphorus
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Pt has flushed skin, bulging eyes, perspiration, irritable, and having palpitations. What condition does the Nx suspect?
Hyperthyroidism
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Where is the thyroid gland located?
Lower neck, anterior to the trach
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What test should the Nx expect to be ordered if hypothyroidism is suspected?
TSH and T4
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Nx and client have discussed recent Dx of hypothyroidism, causes and effects. What statement warrants need for further insturction?
"I just eat too much, thats why I am depressed and over weight."
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Person has hypothyroidism, what med would you expect to be administered?
Levothyroxine
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Hyperphosphatemia and hypocalcemia are indicitive of which of the following disorders?
Hypoparathyroidism
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Excessive output of thyroid hormone, from abnormal stmulation of the thyroid gland is the etiology of what condition?
Hyperthyroidism
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Which lab result supports the Dx of primary hyperparatyroidism?
PTH (para thyroid hormone) and high calcium levels
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Which vitamin enhances absorption of calcium from teh GI tract?
Vitamin D
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Hypothyroidism, S/S?
Tiredness, Cold Intolerance, Weight Gain, and Constipation
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Hyperthyroidism, what is used to treat it?
Irradiation
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What are signs of hypocalcemia?
Chvostek's sign
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Chief sign of hypoparathyroidism?
Tetany
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Pt has sub total thyroidectomy in the morning, on evening rounds Pt experiences nausea, temp 105, tachycardia, and extreme restlessness.
Thyroid Crisis/Storm
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Nx taking care of a pt with a sub total thyroidectomy, what S/S could indicated bleeding at the site?
Difficulty Swallowing
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Nx aide assigned to client ask why client is at high risk for injury, what response is best to explain s/e of hyperparathyroidism?
Pathological Bone Fracture
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Parathyroid glands surgically removed what foods would you encourage?
Milk and Cheese
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On the 3rd day after partial thyroidectomy client experiences muscle twitching, when client is questioned....which electrolyte disturbance will you suspect?
Hypocalcemia
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After undergoing thyroidectomy pt develops hypocalcemia and teteny, what medication would the Nx expect to administer?
Calcium Gluconate
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Pt has high levels of T3 and T4, what condition would you suspect?
Hyperthyroidism
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While monitoring client with hypothyroidism, while assessing a pt you would expect to find?
Hypoactive Bowel Sounds
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Femal Dx with hyperthyroidism while planning care Nx should give priority to which goal?
Providing client with adequte rest and sleep
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Hyperthyroidism is commonly known as which disease?
Graves Disease
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Which of the following forms of hyperthyroidism is life threatning?
Thyroid Storm/Crisis
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Manifestation of which sign is most indicative that your post op pt is developing a Thyroid Crisis/Storm?
High Fever
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Pt had thyroidectomy, how to assess for laryngeal nerve damange?
Say "Ahhh"
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Hyperparathyroid, benign tumor, what is closely associated with this?
Recurrant kidney stones
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Ordered: IV 1000ml 5% dextrose in water D5W for 12hrs
Delivers 15gtt per ml
Approx. How many drops per minute?
21
- 12hrs x60= 720min
- 1000/720= 1.38x15gtt= 20.8
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