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NR565 /NR 565 FINAL EXAM 2 LATEST VERSIONS
ACTUAL EXAM 2025 NEWEST EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||
LATEST EXAM!!!
Signs and symptoms of hypothyroidism - Answer-Face is pale, puffy, and expressionless.Skin is cold and dry.hair is brittle, and hair loss occurs.Heart rate and temperature are lowered. The patient lethargy, fatigue, and intolerance to cold.Mentation may be impaired.
Signs and symptoms of hyperthyroidism - Answer-Heart Rate is Rapid; Possible arrhythmia/angina Nervousness, insomnia, rapid thought flow, and rapid speech Skeletal muscles may weaken and atrophy Metabolic rate is raised, resulting in increased heat production, increased body temperature, intolerance to heat, and skin that is warm and moist 1 / 4
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Weight loss occurs if caloric intake fails to match the increase in metabolic rate
Severe hypothyroidism - Answer-Myxedema
Hypothyroid Treatment - Answer-Levothyroxine is the drug of choice for most patients who require thyroid hormone replacement.
Levothyroxine (Synthroid) Therapeutic Goal - Answer- Resolution of signs and symptoms of hypothyroidism and restoration of normal laboratory values for serum thyroid- stimulating hormone (TSH) and free thyroxine (T4).
Major forms of hyperthyroidism - Answer-Graves disease and toxic nodular goiter (also known as Plummer disease).
Graves Disease - Answer-Most common cause of excessive thyroid hormone secretion
What adjunctive therapy is good to prescribe to control symptoms of hyperthyroidism other than thyroid specific 2 / 4
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medications? - Answer-β-Blockers and nonradioactive iodine may be used as adjunctive therapy.β-Blockers suppress tachycardia by blocking β-receptors on the heart.Nonradioactive iodine inhibits synthesis and release of thyroid hormones.
Monitoring needs and intervals for Levothyroxine - Answer-Check TSH 6-8 weeks after initiating therapy and after any dosage change.Check TSH at least once a year after serum TSH is stabilized.
Hyperthyroid Treatment - Answer-thionamide drugs— methimazole and propylthiouracil (PTU)—suppress synthesis of thyroid hormones.
Methimazole Therapeutic Goal - Answer-(1) reduction of thyroid hormone production in Graves' disease, (2) control of hyperthyroidism until the effects of radiation on the thyroid become manifest, (3) suppression of thyroid hormone production before subtotal thyroidectomy, (4) treatment of thyrotoxic crisis. 3 / 4
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Monitoring needs and intervals for Methimazole - Answer- Check CBC with differential if signs or symptoms of infection. Check LFTs if signs or symptoms of liver dysfunction.
High Risk Patients for Methimazole - Answer-Should be avoided in the first trimester of pregnancy.
Methimazole Toxicity - Answer-Agranulocytosis is the most dangerous toxicity.
PTU High Risk Warning - Answer-Carries a risk for liver toxicity. Although rare, the FDA recommends against using as a first-line treatment due to potential for hepatic toxicity.
Effects of maternal hypothyroidism on offspring and appropriate patient teaching related to need for treatment.
- Answer-Can cause delay in mental development and
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derangement of growth. In the absence of thyroid hormones, the child develops a large and protruding tongue, potbelly, and dwarfish stature. Development of the nervous system, bones, teeth, and muscles is impaired.