Which of the following patients are MOST at risk for hypoparathyroidism?

A physician orders Calcium Gluconate IV as treatment for a patient with hypoparathyroidism. The patient’s calcium level is 5 mg/dL. Which of the following finding causes you to question this order?

You are providing discharge teaching to a patient who is prescribed calcium supplements with vitamin D for treatment of hypoparathyroidism. Which of the following statements by the patient warrants you to re-educate the patient on how they should take this medication?

A patient is recovery from a parathyroidectomy. Which of the following findings causes concern and requires nursing intervention?

The ______________ produces TRH (Thyrotropin-Releasing Hormone) which causes the anterior pituitary gland to produce _______________ which in turn causes the thyroid gland to release _______ and _______.

A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible to?

You are performing discharge teaching with a patient who is going home on Synthroid. Which statement by the patient causes you to re-educate the patient about this medication?

The thyroid hormones, T3 and T4, play many roles in the human body. Which of the following functions are performed by T3 and T4? Note: Select all that apply

A patient was recently discharged home for treatment of hypothyroidism and was ordered to take Synthroid for treatment. The patient is re-admitted with signs and symptoms of the following: heart rate 42, blood pressure 70/56, blood glucose 55, and body temperature of 96.8 'F. The patient is very fatigued and drowsy. The family reports the patient has not been taking Synthroid since being discharged home from the hospital. Which of the following conditions is this patient most likely experiencing?

A patient is being educated on how to take their anti-thyroid medication. Which of the following statements are INCORRECT?

A patient is 6 hours post-opt from a thyroidectomy. The surgical site is clean, dry and intact with no excessive swelling noted. What position is best for this patient to be in?

Which of the following signs and symptoms causes concern and requires nursing intervention for a patient who recently had a thyroidectomy?

A patient is admitted to the ER. The patient is unconscious on arrival. However, the patient’s family is with the patient and reports that before the patient became unconscious she was complaining of severe pain in the abdomen, legs, and back, and has been experiencing worsening confusion. In addition, they also report the patient has not been taking any medications. The patient was recently discharged from the hospital for treatment of low cortisol and aldosterone levels. On assessment, you note the patient’s blood pressure is 70/45. What disorder is this patient most likely experiencing?

A patient with Cushing’s syndrome will be undergoing an adrenalectomy. Which of the following will be included in the patient’s discharge teaching after the procedure?

A patient arrives to the ER and is unable to give you a health history due to altered mental status. The family reports the patient has gained over 10 lbs in 1 week and says it is mainly “water” weight. In addition, they report the patient hasn’t been able to urinate or eat within the past week as well and was recently diagnosed with small cell lung cancer. On assessment, you note the patient’s HR is 115 and BP 180/92. Patient sodium level is 90. Which of the following conditions do you suspect the patient is most likely presenting with?

Which of the following signs and symptoms is NOT expected with Diabetes Insipidus?

Which patient is most at risk for developing Syndrome of Inappropriate Anti-diuretic Hormone (SIADH)?

The anti-diuretic hormone is __________ in Diabetes Insipidus and _________ in SIADH.

A patient has excessive catecholamines in the urine. Which of the following signs and symptoms would the patient NOT exhibit? SELECT-ALL-THAT-APPLY:

A patient is admitted with uncontrolled hypertension and the doctor suspects pheochromoctyoma. On assessment, you note the blood pressure to be 196/120 and HR 130. The patient reports feeling very anxious, sweaty, and having palpations. What do you expect the doctor will order to confirm a diagnosis of pheochromocytoma?

You are educating the patient about the post-opt care for a bilateral adrenalectomy. Which statement by the patient indicates they understood your instructions?

Which of the following patients are MOST at risk for developing myxedema coma?

A patient taking IV Synthroid starts to complain of feeling hot and chest pain. On assessment, you find that the heart rate is 125 bpm and blood pressure is 200/103. You immediately notify the physician of the patient’s condition and receive orders for lab work. Based on the patient's signs and symptoms, what is the MOST important lab result at this time to determine the cause of the patient’s symptoms?

A patient is being treated for Grave's Disease. They have a health history of type 1 diabetes, breast cancer, eczema, and hypertension. The physician orders Propranolol. What important information will you include in their discharge teaching about this medication?