Which clinical manifestation(s) would the nurse assess in a ...

[Melani1276]

Which clinical manifestation(s) would the nurse assess in a patient with hypothyroidism? (Select all that apply.)
 
  a. Cold intolerance, weight gain
  b. Nervousness, agitation
  c. Increased susceptibility to infection
  d. Exophthalmos, fatigue
  e. Hypoactive reflexes

Question 2

What is characteristic of antithyroid drugs that act on the thyroid gland? (Select all that apply.)
 
  a. They are a physiologic hormone replacement.
  b. They block synthesis of T3 and T4 in the thyroid gland.
  c. They destroy T3 and T4.
  d. Immediate improvement is observed.
  e. They may be used before subtotal thyroidectomy.

[parshano]

Answer to Question 1

ANS: A, C, E
Hypothyroid patients have a lower basal metabolic rate. This may be characterized by intolerance to cold, subnormal body temperature, weight gain, and slowness in motion, speech, and mental processes. Patients with hypothyroidism may become susceptible to infection. Nervousness and agitation are not manifestations of hypothyroidism. Exophthalmos and fatigue are not manifestations of hypothyroidism.

Answer to Question 2

ANS: B, E
Antithyroid drugs act by blocking the synthesis of T3 and T4. They are prescribed long term for patients with hyperthyroidism and may be used for short-term treatment before subtotal thyroidectomy. Antithyroid drugs are not related to synthetic or physiologic hormone replacement. Antithyroid drugs act by blocking the synthesis of, not destroying, T3 and T4. There is a latency period of a few days to 3 weeks before symptoms improve.

[Melani1276]

Thanks for the timely response, appreciate it

[ricroger]

Gracias!