Review Questions

1.

A nurse is assessing a client with hyperthyroidism. Which clinical manifestation should the nurse anticipate the client will report?

1. Cold intolerance
2. Weight gain
3. Frequent mood changes
4. Constipation

2.

A nurse is reviewing the laboratory values for a client diagnosed with hypothyroidism. The nurse should expect an elevation in which laboratory value?

1. PTH
2. T3
3. T4
4. TSH

3.

A nurse is teaching a client with newly diagnosed hyperthyroidism. For which medication should the nurse provide client education?

1. Desiccated thyroid extract
2. Levothyroxine
3. Liothyronine sodium
4. Methimazole

4.

A nurse is teaching a client about levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which food?

1. Grapefruit juice
2. Garlic
3. Soy
4. Sardines

5.

A nurse is assessing a client who is receiving levothyroxine for hypothyroidism. Which therapeutic drug response should the nurse anticipate?

1. Decreased appetite
2. Decreased heart rate
3. Increased energy
4. Increased weight

6.

Which laboratory findings would indicate to the nurse that a client has hypoparathyroidism?

1. Ionized serum calcium 5.0 mg/dL
2. Total serum calcium 9.8 mg/dL
3. Phosphate 5.7 mg/dL
4. Vitamin D 50 mmol/L

7.

A nurse is assessing a client diagnosed with hyperparathyroidism. Which findings should the nurse expect to find?

1. Bone pain
2. Chvostek sign
3. Paresthesia
4. Trousseau sign

8.

A nurse is teaching a client diagnosed with osteoporosis secondary to hyperparathyroidism about a new prescription for alendronate. Which adverse effect should the nurse teach the client to report to the health care provider?

1. Dyspepsia
2. Hyperthermia
3. Hypotension
4. Metallic taste

9.

The health care provider ordered levothyroxine 0.275 mg once daily for a client with hypothyroidism. Levothyroxine is available as a 137 mcg tablet. How many tablets will the nurse administer to the client?

1. 1
2. 2
3. 3
4. 4

10.

A client with hyperthyroidism has an order for methimazole 15 mg orally daily, in three divided doses. How many milligrams will the nurse administer for each dose?

1. 3 mg
2. 5 mg
3. 7.5 mg
4. 10 mg