1. Which medication is used to treat hyperthyroidism?
a. Levothyroxine (Synthroid)
b. Liotrix (Thyrolar)
c. Propylthiouracil (Propacil)
d.
... [Show More] Liothyronine (Cytomel)
ANS: C
Propylthiouracil is an antithyroid agent used in the treatment of hyperthyroidism.
Levothyroxine, liotrix, and liothyronine are used to treat hypothyroidism.
DIF: Cognitive Level: Knowledge REF: Page 577 OBJ: 2
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Hormonal Regulation
2. A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug
interaction with glycosides and thyroid replacement therapy will most likely require which
change in therapy?
a. Decrease in the daily digoxin dosage
b. Gradual increase in the daily glycoside dosage
c. Inability to begin thyroid replacement therapy because of the underlying heart
condition
d. Increased thyroid replacement dosage
ANS: B
If thyroid replacement therapy is started while receiving digoxin, a gradual increase in the
glycoside will also be necessary to maintain adequate therapeutic activity. Decreasing the
digoxin would put the patient at risk for cardiovascular complications. The two treatments can
be coordinated. The thyroid medication does not need to be increased.
DIF: Cognitive Level: Comprehension REF: Page 576 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety
3. Which nursing diagnosis may be identified for a patient with hyperthyroidism?
a. Imbalanced nutrition: more than body requirements
b. Constipation
c. Disturbed sleep pattern
d. Ineffective airway clearance
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ANS: C
Hyperthyroidism is caused by an excess amount of thyroid hormones. Patients typically
exhibit the following symptoms: rapid, bounding pulse (even during sleep); cardiac
enlargement; palpitations; and dysrhythmias. Patients are nervous and easily agitated.
Reflexes are hyperactive and the patient typically experiences insomnia. A nursing diagnosis
of “Disturbed sleep pattern” would be a common problem. The patient with hyperthyroidism
is likely to consume less than body requirements and is not likely to be constipated as a result
of the disease. Ineffective airway clearance is not a common problem of patients with
hyperthyroidism.
DIF: Cognitive Level: Analysis REF: Page 572 OBJ: 4
TOP: Nursing Process Step: Diagnosis
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: CONCEPT(S): Clinical Judgment; Sleep; Hormonal Regulation
4. The nurse is providing instruction t [Show Less]