Author Question: The nurse is teaching the patient, newly diagnosed with Graves's disease, about the normal ... (Read 47 times)

wenmo · **on:** Jul 23, 2018

The nurse is teaching the patient, newly diagnosed with Graves's disease, about the normal functioning of the thyroid gland. What hormone will the nurse tell the patient controls production and release of thyroid hormones?

A) Thyrotropin-releasing hormone (TRH)
B) Thyroid-stimulating hormone (TSH)
C) Tetraiodothyronine
D) Triiodothyronine

Question 2

The nurse teaches the patient how to use topical nitroglycerin and includes what teaching points in the teaching plan? (Select all that apply.)

A) Rotate application sites.
B) Assess the skin for signs of breakdown.
C) Make sure no one touches the side with the medication.
D) Do not shower with the patch in place.
E) Increase fluid intake to avoid hypotension.

pikon · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Thyroid hormone production and release are regulated by the anterior pituitary hormone called thyroid-stimulating hormone (TSH). The secretion of TSH is regulated by thyrotropin-releasing hormone (TRH), a hypothalamic regulating factor. Tetraiodothyronine and triiodothyronine are thyroid hormones produced by the thyroid gland because of TSH stimulation.

Answer to Question 2

A, B, C
Feedback:
Rotate the sites of topical forms of nitroglycerin to lower the risk of skin abrasion and breakdown; monitor for signs of skin breakdown to arrange for appropriate skin care as needed. Care should be taken not to touch the side of the patch with the medication by the patient or anyone assisting in applying the patch. The patient may shower with the patch in place. There is no need to increase fluid intake but patients should be encouraged to maintain adequate intake.