A nurse is assessing a client with hyperthyroidism. Which clinical manifestation should the nurse anticipate the client will report?
Weight gain
Frequent mood changes
✓
Cold intolerance
Constipation
Correct Answer
Frequent mood changes
Symptoms of hyperthyroidism include weight loss, heat intolerance, diarrhea, fine tremor, tachycardia, frequent mood changes, and muscle weakness.
Question 2
A nurse is reviewing the laboratory values for a client diagnosed with hypothyroidism. The nurse should expect an elevation in which laboratory value?
TSH
✓
PTH
T3
T4
Correct Answer
TSH
Clients with hypothyroidism will have an elevated TSH level.
Question 3
A nurse is teaching a client with newly diagnosed hyperthyroidism. For which medication should the nurse provide client education?
Liothyronine sodium
Levothyroxine
Desiccated thyroid extract
Methimazole
✓
Correct Answer
Methimazole
Methimazole is an antithyroid drug used to treat hyperthyroidism.
Question 4
A nurse is teaching a client about levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which food?
Soy
✓
Grapefruit juice
Sardines
Garlic
Correct Answer
Soy
Soy has a food interaction with levothyroxine and can decrease its effectiveness.
Question 5
A nurse is assessing a client who is receiving levothyroxine for hypothyroidism. Which therapeutic drug response should the nurse anticipate?
Decreased heart rate
Decreased appetite
Increased energy
✓
Increased weight
Correct Answer
Increased energy
An increase in energy is a therapeutic effect of levothyroxine.
Question 6
Which laboratory findings would indicate to the nurse that a client has hypoparathyroidism?
Ionized serum calcium 5.0 mg/dL
Phosphate 5.7 mg/dL
✓
Vitamin D 50 mmol/L
Total serum calcium 9.8 mg/dL
Correct Answer
Phosphate 5.7 mg/dL
The phosphate level is above the expected reference range. Phosphate levels are increased in clients with hypoparathyroidism.
Question 7
A nurse is assessing a client diagnosed with hyperparathyroidism. Which findings should the nurse expect to find?
Trousseau sign
Chvostek sign
Bone pain
✓
Paresthesia
Correct Answer
Bone pain
Bone pain, along with muscle weakness and depression, are signs of hyperparathyroidism.
Question 8
A nurse is teaching a client diagnosed with osteoporosis secondary to hyperparathyroidism about a new prescription for alendronate. Which adverse effect should the nurse teach the client to report to the health care provider?
Metallic taste
Dyspepsia
✓
Hyperthermia
Hypotension
Correct Answer
Dyspepsia
Alendronate may cause esophagitis, which can lead to dyspepsia.
Question 9
The health care provider ordered levothyroxine 0.275 mg once daily for a client with hypothyroidism. Levothyroxine is available as a 137 mcg tablet. How many tablets will the nurse administer to the client?
4
3
1
2
✓
Correct Answer
2
First, convert 0.275 mg to mcg, (desired dose) (supply on hand)
Question 10
A client with hyperthyroidism has an order for methimazole 15 mg orally daily, in three divided doses. How many milligrams will the nurse administer for each dose?
5 mg
✓
10 mg
7.5 mg
3 mg
Correct Answer
5 mg
15 mg divided by three divided doses equals 5 mg each dose.