Author Question: The nurse is reviewing the laboratory results for a group of patients. Which set of results should ... (Read 157 times)

deesands · **on:** Jun 25, 2018

The nurse is reviewing the laboratory results for a group of patients. Which set of results should the nurse identify as being consistent with primary hypothyroidism?

1. elevated TSH, depressed T3 and T4
2. elevated TSH, elevated T3 and T4
3. depressed TSH, elevated T3 and T4
4. depressed TSH, depressed T3 and T4

Question 2

The nurse is describing the manifestations of myxedema coma to a patient with hypothyroidism. What should the nurse identify as precipitating factors for this health problem?

Select all that apply.
1. gastrointestinal bleeding
2. pneumonia
3. excessive use of thyroid replacement medications
4. excessive use of central nervous system stimulants
5. exposure to excessive heat and humidity

Christopher · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Primary hypothyroidism emanates from the thyroid gland itself. Laboratory analysis will indicate an elevated TSH, as the pituitary attempts to stimulate the thyroid gland to produce thyroid hormone, and the thyroid hormone levels T3 and T4 will be low. Elevated T3 and T4 levels are not consistent with hypothyroidism. TSH is depressed in hyperthyroidism.

Answer to Question 2

Correct Answer: 1, 2

Myxedema coma usually occurs in older adults and may be precipitated by pneumonia, gastrointestinal bleeding, and the use of central nervous system depressants. Excessive use of thyroid replacement medications, central nervous system stimulants, or exposure to heat and humidity would not precipitate myxedema coma.