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Question 11

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

1. Excessive heat production.

2. Skin thickening with plaques.

3. Hypertrophy of the thyroid gland.

4. Outward bulging of the eyes.

Question 12

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

1. Hypothermia

2. Bradycardia

3. Weight gain

4. Hypertension

Question 13

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

1. 3 years.

2. The first year of life.

3. Until puberty.

4. Until symptoms disappear.

Question 14

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

1. Immediately.

2. Within 3–5 days.

3. In 1–3 weeks.

4. Within 24 hours.

Question 15

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

1. Warfarin.

2. Phenytoin.

3. Antacids.

4. Calcium.

Question 16

In which instance would the nurse hold the dose of levothyroxine (Synthroid)?

1. The client complains of palpitations.

2. The client’s blood pressure 118/78 mmHg.

3. The client’s respiratory rate is 10.

4. The client is fatigued.

Question 17

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

1. Antacids.

2. Calcium replacement.

3. Warfarin.

4. Penicillin.

Question 18

For which client would the nurse question the use of Synthroid?

1. A child under 2

2. A pregnant client

3. A client allergic to shellfish

4. A client allergic to aspirin

Question 19

A client is receiving thyroid hormone replacement therapy to increase 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?

1. Norepinephrine

2. Epinephrine

3. Dopamine

4. Serotonin

5. Melatonin

Question 20

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

1. Serum T4 level

2. TSH level

3. Serum calcium

4. Serum potassium

5. Serum T3 level

Question 21

A client is diagnosed with hyperthyroidism. The nurse will prepare to administer which medications to treat this disorder?

1. Propylthiouracil (PTU)

2. Methimazole (Tapazole)

3. Propranolol (Inderal)

4. Esmolol (Brevibloc)

5. Metoprolol (Toprol)

Question 22

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

1. Steroids block the conversion of T4 to T3 in peripheral tissues.

2. IV corticosteroids serve as replacement for corticosteroids in the body.

3. Steroids reduce the TSH level.

4. Steroids help maintain the blood pressure.

5. Steroids are used to stabilize the heart rate.

Question 23

What should the nurse instruct a client who is prescribed propylthiouracil (PTU)?

1. “A rash can occur when taking this medication.”

2. “Contact your health care provider with any changes in urine output at home.”

3. “You might experience a headache.”

4. “You might experience vertigo when taking this medication.”

5. “Nausea and vomiting are side effects of this medication.”

Question 24

What foods should the nurse instruct a client to avoid when taking thyroid replacement medication?

1. Soy sauce

2. Yogurt

3. Milk

4. Strawberries

5. Red meat

Question 25

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

1. Tell family to visit for only 1 hour per day per person.

2. Ask pregnant family members not to visit.

3. Increase fluid intake up to 2 liters per day.

4. Limit the intake of all protein products.

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