Deck 43: Management of Clients with Thyroid and Parathyroid Disorders

Question 1

The nurse should assess a client with a history of hypothyroidism for

A) goiter.
B) Graves' disease.
C) Hashimoto's thyroiditis.
D) myxedema.

Answer 1

myxedema.

Question 2

As part of the care plan to meet the needs of a client with mild hypothyroidism, the nurse would

A) apply an astringent to the client's skin to promote dryness.
B) plan a strenuous exercise regimen to decrease weight.
C) set the thermostat between 75° and 80° F to provide a comfortable climate.
D) suggest the consumption of dense fruit to decrease diarrhea.

Answer 2

set the thermostat between 75° and 80° F to provide a comfortable climate.

Question 3

The nurse caring for a client after a thyroidectomy plans care understanding that which of the following nursing diagnoses takes priority?

A) Acute Pain
B) Imbalanced Nutrition
C) Impaired Skin Integrity
D) Risk for Suffocation

Answer 3

Risk for Suffocation

Question 4

To increase the comfort of a client with exophthalmos, the nurse would

A) elevate the head of the bed at night.
B) provide warm soaks.
C) restrict activity.
D) restrict fluids.

Question 5

In a client with Graves' disease receiving radioiodine, the nurse would monitor for the common treatment complication of

A) hypothyroidism.
B) pulmonary emboli.
C) skin breakdown.
D) urinary tract infection.

Question 6

The nurse counseling a client in the prevention of goiter would suggest an increased intake of

A) calcium.
B) iodine.
C) potassium.
D) protein.

Question 7

To aid in immobilizing the head of a client after thyroidectomy, the nurse would obtain

A) a headboard.
B) hand towels.
C) Kerlix rolls.
D) sandbags.

Question 8

In the initial treatment of a teenager with hyperthyroidism, the nurse would anticipate using

A) levothyroxine sodium (Synthroid).
B) liothyronine sodium (Cytomel).
C) methimazole (Tapazole).
D) radioactive iodine (131I).

Question 9

The nursing diagnosis Impaired Urinary Elimination has been assigned to the client with hyperparathyroidism. To address this diagnosis, the nurse would

A) encourage the client to void frequently.
B) force fluids to 3 liters/day.
C) not administer fluids with meals.
D) withhold acidic juices in the diet.

Question 10

A client just returned from surgery for a thyroid disorder and complains that his/her mouth has an odd sensation. Which medication should the nurse anticipate administering?

A) Calcium gluconate
B) Epinephrine
C) Potassium chloride
D) Rectal aspirin

Question 11

In making emergency equipment available at the bedside of a client who has undergone subtotal thyroidectomy, the nurse would include

A) a defibrillator.
B) a tracheostomy set.
C) an electrocardiogram (ECG) monitor.
D) an intra-aortic balloon pump.

Question 12

In a client with hyperthyroidism, the nurse would expect to see

A) anorexia, constipation, and cold extremities.
B) blurred vision, night sweats, and palpitations.
C) heat intolerance, weight loss, and diarrhea.
D) muscle cramps, paresthesias, and numbness of the fingers and toes.

Question 13

The nurse caring for a client with hyperparathyroidism should assign priority to

A) averting infection.
B) coughing hourly.
C) encouraging exercise.
D) preventing falls.

Question 14

A nurse is caring for a client with Graves' disease. Based on clinical manifestations, which nursing diagnosis would be most appropriate?

A) Altered Body Image
B) Constipation
C) Fluid Volume Deficit
D) Impaired Nutrition-More Than Body Requirements

Question 15

A nurse assessing a client finds a thyroid nodule that is hard, irregular, and painless. The nurse should suspect

A) exophthalmos.
B) goiter.
C) Hashimoto's thyroiditis.
D) thyroid cancer.

Question 16

Self-care measures the nurse should teach a client with hypoparathyroidism include eating a

A) high-calcium, low-phosphorus diet.
B) high-phosphorus, high-calcium diet.
C) low-calcium, low-protein diet.
D) low-protein, high-calorie diet.

Question 17

In the assessment of a client with hypothyroidism, the nurse would include

A) serum calcium levels.
B) serum cholesterol levels.
C) urine glucose levels.
D) urine specific gravity.

Question 18

In a newly admitted client with thyrotoxicosis, the nurse would plan to address the clinical manifestation of

A) fluid overload.
B) hypothermia.
C) respiratory distress.
D) tachycardia.

Question 19

In a client admitted to the clinical unit with a sporadic goiter, the nurse might expect to find that the client

A) frequently travels in foreign countries.
B) has a large intake of aspirin.
C) ingests a large amount of cabbage.
D) lives in the Great Lakes region.