When assisting with the development of a care plan for a client with hyperthyroidism, the nurse would anticipate which treatment?

Cholelithotomy

radiation of thyroid

Whipple procedure

Administration of oral thyroid hormone

Answer and Explanation

The Correct Answer is B

A. Cholelithotomy: This procedure is performed to remove gallstones (cholelithiasis), which is unrelated to hyperthyroidism. It does not address the treatment needs for a client with hyperthyroidism.

B. Radiation of thyroid: One common treatment for hyperthyroidism, particularly in Graves' disease, is radioactive iodine therapy. The radioactive iodine is used to destroy overactive thyroid tissue, which helps to reduce the production of thyroid hormones.

C. Whipple procedure: The Whipple procedure (pancreaticoduodenectomy) is a surgery typically used for pancreatic cancer or other conditions affecting the pancreas. It is not a treatment for hyperthyroidism.

D. Administration of oral thyroid hormone: Oral thyroid hormone (such as levothyroxine) is used to treat hypothyroidism. For hyperthyroidism, treatments focus on reducing thyroid hormone production, such as using radioactive iodine or antithyroid medications.

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Correct Answer is C

Explanation

A. “I may need calcium replacement after surgery.": After a complete thyroidectomy, there is a risk of damage to the parathyroid glands, which regulate calcium levels. Clients may require calcium supplementation if their parathyroid function is affected.

B. “I need to take thyroid hormones for the rest of my life.": After a complete thyroidectomy, the client will require lifelong thyroid hormone replacement to maintain normal metabolic function, as the body no longer produces thyroid hormones.

C. “After surgery, I won't need to take thyroid medication.": After a complete thyroidectomy, the client will definitely need thyroid hormone replacement for the rest of their life, as their body can no longer produce thyroid hormones naturally.

D. “I can receive pain medication if I feel that I need it.": It is important for the nurse to ensure the client knows that pain management is available as needed after surgery to help with comfort and recovery.

A. Use sliding scale insulin to manage hypoglycemia. B. Continue taking the scheduled insulin or oral hypoglycemic agent. C. Increase intake of carbohydrates for the duration of the illness. D. Report blood glucose lower than 100 mg/dL to the health care provider.

Correct Answer is B

Explanation

A. Use sliding scale insulin to manage hypoglycemia: Sliding scale insulin is used to manage hyperglycemia, not hypoglycemia. Sick day management focuses on maintaining stable blood glucose levels, not using sliding scale insulin for hypoglycemia.

B. Continue taking the scheduled insulin or oral hypoglycemic agent: During illness, it is essential for clients with diabetes to continue their medication as prescribed. This helps prevent both hyperglycemia and ketosis, which can occur due to illness-induced stress.

C. Increase intake of carbohydrates for the duration of the illness: It is not necessary to increase carbohydrate intake unless the client is unable to eat enough food. It’s more important to maintain hydration and monitor blood glucose levels, adjusting insulin doses as needed.

D. Report blood glucose lower than 100 mg/dL to the health care provider: Blood glucose levels below 100 mg/dL are generally considered within normal range. During illness, clients may experience higher blood glucose levels, which are more concerning.

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When assisting with the development of a care plan for a client with hyperthyroidism, the nurse would anticipate which treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional instruction?

Correct Answer is C

Explanation

The nurse should instruct clients with diabetes about "sick day management" of their disease by emphasizing which action?

Correct Answer is B

Explanation

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