A patient has a diagnosis of primary hypothyroidism. Which statement accurately describes this problem?
a. The hypothalamus is not secreting thyrotropin-releasing hormone (TRH); therefore, thyroid-stimulating hormone (TSH) is not released from the pituitary gland.
b. The pituitary gland is dysfunctional and is not secreting TSH.
c. The abnormality is in the thyroid gland itself.
d. The abnormality is caused by an insufficient intake of iodine.
Question 2
A 19-year-old student was diagnosed with
hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct?
a. It will probably require surgery for a cure to happen.
b. The full therapeutic effects may not occur for 3 to 4 weeks.
c. Is it possible that you did not take your medication as instructed?
d. Let's review your diet; it may be causing absorption problems.
Hypothyroidism. Hyposecretion of the thyroid gland produces the symptoms that are illustrated.
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