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Hypothyroidism nursing dx for dehydration: Hyperthyroidism Nursing Care Plan and Management

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David Stewart
Saturday, October 21, 2017
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  • Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?

  • Block the formation of thyroxine by the thyroid gland. Monitor CBC periodically.

  • Other Tests: hr radioactive iodine uptake; thyroid autoantibodies; antithyroglobulin; electrocardiogram ECG Medical Management Treatment is directed toward reducing thyroid hyperactivity for symptomatic relief and removing the cause of complications. The most commonly used medications are propylthiouracil Propacil, PTU and methimazole Tapazole until patient is euthyroid.

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Speak in brief statements. Question 4 Explanation:. Question 9.

Focus: Prioritization. Risk for Impaired Tissue Integrity: Corneal—may be related to inability to close eyelids secondary to exophthalmos. A pulse rate lower than 95 bpm but greater than 60 bpm. Risk for Hyperthermia —may be related to lack of metabolic compensatory mechanisms secondary to hyperthyroidism.

Log In. Aspirin is contraindicated because it actually increases the level of circulating thyroid hormones by blocking the binding of T 3 and T 4 with thyroid-binding proteins. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Provide a cool and quiet environment.

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Rationale: Prevents injury to patient who may be hallucinating or disoriented. Using a cleansing lotion instead hypothyrokdism soap for the skin. Upon assessment, the immediate priority that the nurse would include is:. Nursing Diagnosis: Decreased cardiac output related to increased cardiac work secondary to increased adrenergic activity; Deficient fluid volume secondary to increased metabolism and diaphoresis.

Check the apical pulse, blood pressure, and temperature every 4 hours. Also, this page requires javascript. Other loci and the human leukocyte antigen HLA region types are linked with Graves disease in people of other races and ethnicities. Bowel sounds.

Rationale: Limits defensive reaction. An experienced nursing assistant should have been taught how to monitor the apical pulse. These may include:. How do I establish priority nursing diagnoses or collaborative problems? Question 4. Question READ: What is the biblical meaning of virtue?

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If iodide is part of treatment, mix with milk hypothyroidism nursing dx for dehydration, or water to prevent GI distress and administer through a straw to prevent tooth discoloration. Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism? Rationale: May decrease nervous energy, promoting relaxation. Give or suggest high-calorie foods that are easily digested. The objective of medical management is to restore the normal metabolic state of the body by adequately replacing a missing hormone.

Although it can affect all ages, it is most typically diagnosed in to year-olds and is unusual in children, teenagers, and people over age The authors found nurxing high TSH levels at baseline were related to a greater risk for total mortality as compared to normal TSH levels. Regulation of energy production. It also may be effective in reducing calcium level if the neuromuscular function is impaired. Note: If patient has edema, suggest a low-sodium diet. Nursing Interventions Observe behavior indicative of level of anxiety.

Gulanick, Hypotgyroidism. The dietician can calculate the appropriate caloric requirements to maintain nutrient intake and achieve a stable weight. During the start of the thyroid hormone replacement therapy, the client can experience loss of weight. Acetaminophen Tylenol Rationale: Drug of choice to reduce temperature and associated metabolic demands. Below-normal levels of serum triiodothyronine T3 and serum thyroxine T4 as detected by radioimmunoassay. Appearance can be enhanced with proper use of makeup, overall grooming, and use of shaded glasses. Administer transfusions; assist with plasmapheresis, hemoperfusion, dialysis.

Avoid the administration of stimulants. Davis Company; Note adventitious sounds. Rationale: Continued weight loss in face of adequate caloric intake may indicate failure of antithyroid therapy.

Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? Rationale: Continued weight loss in face of adequate caloric intake may indicate failure of antithyroid therapy. Rationale: Improves circulation and maintains mobility of the eyelids. Rationale: Presence or potential recurrence of these conditions affects choice of therapy. Ackley, B. Monitor physical responses, noting palpitations, repetitive movements, hyperventilation, insomnia.

Administer medications as indicated: Glucose, vitamin B complex, Insulin small doses. Consult with hypothygoidism to provide diet high in calories, protein, carbohydrates, and vitamins. Auscultate heart sounds, note extra heart sounds, development of gallops and systolic murmurs. Question 6. Rationale: Mild anxiety may be displayed by irritability and insomnia. Decreased oral temperature.

Question 6. Instructing and teaching patients, as well as performing venipuncture for laboratory samples, are more suited to the educational scope of licensed nurses. Dysrhythmias often for dehydration and may compromise cardiac output. Rationale: Mild hypotyroidism may be displayed by irritability and insomnia. Three forms of treatment are available: Irradiation involving the administration of I or I for destructive effects on the thyroid gland Pharmacotherapy with antithyroid medications Surgery with the removal of most of the thyroid gland Radioactive Iodine I I is given to destroy the overactive thyroid cells most common treatment in the elderly. Though fluid volume status, neurological status and pain are all important assessment, the immediate priority for postoperative is the airway management.

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For the patient with hyperthyroidism, what intervention should you delegate to the experienced certified nursing assistant? Pulmonary congestion may be noted with cardiac decompensation. An elevated systolic blood pressure. A decreased TSH level indicates a pituitary deficiency of this hormone. Pad side rails, close supervision, applying soft restraints as last resorts as necessary.

If you leave this page, your progress will be lost. Rationale: Aids in keeping caloric intake high enough to keep up with rapid expenditure of calories caused by hypermetabolic state. Forgot Your Password? After I therapy, tell the patient not to expectorate or cough freely. Indwelling catheter tray.

Potassium chloride. Antithyroid drugs Rationale: May decrease signs and symptoms or prevent worsening of the condition. Assess pulse and heart rate while patient is sleeping. Three forms of treatment are available: Irradiation involving the administration of I or I for destructive effects on the thyroid gland Pharmacotherapy with antithyroid medications Surgery with the removal of most of the thyroid gland Radioactive Iodine I I is given to destroy the overactive thyroid cells most common treatment in the elderly. Cancer patients who have undergone radiation therapy in the head or the neck are more susceptible to thyroid cancer. Also, this page requires javascript. This site uses Akismet to reduce spam.

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Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Risk for Hyperthermia —may be related to lack of metabolic compensatory mechanisms secondary to hyperthyroidism. Question Which medication will the nurse have available for emergency treatment of tetany in the client who has had thyroidectomy?

A below-normal T4 level also occurs in hypothyroidism nursing dx for dehydration and liver disease and may result from administration of phenytoin and certain other drugs. Decreases heart rate or cardiac work by blocking [beta]-adrenergic receptor sites and blocking conversion of T 4 to T 3. Radioactive iodine I is given for two purposes: for diagnosing imaging in low doses and for therapeutic destruction of the thyroid gland in larger doses. Administer IV fluids as indicated.

ALSO READ: Non Toxic Goiter Hypothyroidism Hyperthyroidism

Tracheostomy set. No votes so far! For the patient with hyperthyroidism, what intervention should you delegate to the experienced certified nursing assistant? A hormonal imbalance is corrected, diet will need to be readjusted to prevent excessive weight gain. Gulanick, M. Stress necessity of continued medical follow-up.

Provide safety measures. Note urine specific gravity. Monitor CBC periodically. Adjust the room temperature. Desired Outcomes Maintain moist eye membranes, free of ulcerations. Assess fluid volume status.

  • Other complications include parathyroid damage and exacerbation of hyperthyroidism. Below-normal levels of serum triiodothyronine T3 and serum thyroxine T4 as detected by radioimmunoassay.

  • Provide for quiet environment; cool room, decreased sensory stimuli, soothing colors, quiet music.

  • Activity Intolerance —may be related to fatigue, exhaustion secondary to excessive metabolic rate.

Average rating 4. Htpothyroidism nurse is aware that this medication is given to:. Serial ECGs Rationale: May demonstrate effects of electrolyte imbalance or ischemic changes reflecting inadequate myocardial oxygen supply in presence of increased metabolic demands. After I therapy, tell the patient not to expectorate or cough freely. Maintain the function of the parathyroid glands. Provide support as needed.

Please wait while the activity loads. The nurse is aware that this medication is given to:. Which test result would confirm the diagnosis? Nursing Interventions Assess thinking process.

Dehydration NCLEX Review Care Plans

Desired Outcomes Demonstrate stable weight with normal laboratory values and be free of signs of malnutrition. Administer antithyroid medications propylthiouracil [PTU] that block thyroid synthesis, as prescribed. Rationale: Presence or potential recurrence of these conditions affects choice of therapy. Question 15 Explanation:. Verbalize understanding of therapeutic needs.

A decreased TSH level. Question 5. Digoxin Lanoxin Rationale: Digitalization may be required in patients with HF before [beta]-adrenergic blocking therapy can be considered or safely initiated. Monitoring and recording vital signs are within the education scope of nursing assistants. Note urine specific gravity. Decrease systolic blood pressure.

ALSO READ: Reinke S Oedema Hypothyroidism In Children

Rationale: Indicates need for reduction or discontinuation of therapy. Simultaneously the hypothyroidism nursing dx for dehydration attending patients suffering from the condition required to make sure that the patients do not suffer from cardiac dysfunction. Monitor temperature; provide cool environment, limit bed linens or clothes, administer tepid sponge baths. Increased respiratory rate. Potassium chloride. Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. These are the steps of the nursing process, which are steps to… Read More.

Administer propranolol INderal for tachycardia as prescribed. Question 15 Explanation:. Administer medications as indicated: Sedatives: phenobarbital Luminalantianxiety agents: chlordiazepoxide Librium Rationale: Combats nervousness, hyperactivity, and insomnia. Increased respiratory rate. Please visit using a browser with javascript enabled.

For dehydration disease has an autoimmune derivation and is caused by circulating anti-TSH autoantibodies that displace TSH from the thyroid receptors and mimic TSH by activating the TSH receptor to release additional thyroid hormones. Rationale: Determines extent of interference with sensory processing Note changes in behavior. If the patient is taking propylthiouracil or methimazole, encourage her or him to take the medications with meals to limit gastric irritation. Widened pulse pressure reflects compensatory increase in stroke volume and decreased systemic vascular resistance SVR.

Rationale: Provides information and reassures patient that the situation is temporary and will improve with treatment. Desired Outcome: The patient will have an for dehydration of GI bleeding, a hemoglobin HB level of overblood pressure level within normal range, full level of consciousness, and normal skin color. Draw blood for thyroid-stimulating hormone, T3, and T4 levels. Decreased oral temperature. Administer medications as indicated: Thyroid hormone antagonists: propylthiouracil PTUmethimazole Tapazole Rationale: May be definitive treatment or used to prepare patient for surgery; but effect is slow and so may not relieve thyroid storm. Rationale: Increased number of [beta]-adrenergic receptor sites, coupled with effects of excess thyroid hormones, produces clinical manifestations of catecholamine excess even when normal levels of norepinephrine or epinephrine exist.

The client complains of increased weight gain over the past year. A hormonal imbalance is corrected, diet will need to be readjusted to prevent excessive weight gain. Clinical Endocrinology, 88 1— Rationale: Promotes relaxation, reduces CNS hyperactivity and agitation to enhance thinking ability. Tracheostomy set.

Other Tests: hr radioactive iodine uptake; thyroid autoantibodies; antithyroglobulin; electrocardiogram ECG Medical Management Treatment is directed toward reducing thyroid hyperactivity for symptomatic for dehydration and removing the cause of complications. Upon assessment, the immediate priority that the nurse would include is:. Be sure that the patient understands all medications, including the dosage, route, action, adverse effects, and the need for any laboratory monitoring of thyroid medications. Monitor temperature; provide cool environment, limit bed linens or clothes, administer tepid sponge baths.

Rationale: O 2 demand for dehydration consumption are increased in hypermetabolic state, potentiating risk of hypoxia with activity. Three forms of treatment are available: Irradiation involving the administration of I or I for destructive effects on the thyroid gland Pharmacotherapy with antithyroid medications Surgery with the removal of most of the thyroid gland Radioactive Iodine I I is given to destroy the overactive thyroid cells most common treatment in the elderly. Rationale: Rapid fluid replacement may be necessary to improve circulating volume but must be balanced against signs of cardiac failure and need for inotropic support. Rationale: Aids in keeping caloric intake high enough to keep up with rapid expenditure of calories caused by hypermetabolic state.

Fever, decreased mental alertness, and abdominal pain may occur. Diuresis may be necessary if HF occurs. Question 3. Block the formation of thyroxine by the thyroid gland.

Imbalanced nutrition: Less than body requirements related to thyroid hormone excess. Nursing Interventions Hypothyroidiwm disease process and future expectations. Thyroid hypothyroidism nursing dx for dehydration may be administered to put the thyroid to rest. Rationale: Presence or potential recurrence of these conditions affects choice of therapy. Sedative, barbiturates Rationale: Promotes rest, thereby reducing metabolic demands and cardiac workload. Identify signs and symptoms requiring medical evaluation: fever, sore throat, and skin eruptions.

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Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Rationale: To promote weight gain. Draw blood for thyroid-stimulating hormone, T3, and T4 levels.

If the patient or family requires additional support, ask a clinical nurse specialist or mental for counselor to see the patient or family. One useful strategy is to ensure that significant others are present during all teaching hypothyroidisk. This condition, which occurs when the body can no longer tolerate the hypermetabolic state, is a nursing and medical emergency and is fatal if not treated. As a nurse educator sincehis goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. Desired Outcomes Demonstrate stable weight with normal laboratory values and be free of signs of malnutrition.

Decrease the total basal metabolic rate. Immediate hospitalization is needed. Calcium is used to treat tetany. Decreases hyperthermia; relieves relative adrenal insufficiency; inhibits calcium absorption; and reduces peripheral conversion of T 3 from T 4. Also, this page requires javascript.

Nursing Care Plan

Give or suggest high-calorie foods hypothyroidixm are easily digested. Rationale: Patient who has been treated for hyperthyroidism needs to be aware of possible development of hypothyroidism, which can occur immediately after treatment or as long as 5 yr later. Respiratory distress may result from hemorrhage, edema, laryngeal damage or tetany. Emphasize importance of planned rest periods. Monitor physical responses, noting palpitations, repetitive movements, hyperventilation, insomnia.

When hyperthyroidism occurs in the elderly, their symptoms may be more subtle than those of younger persons, and the classic signs may even be absent. Rationale: Allows for use of nervous energy in a constructive manner and may reduce anxiety. Pad side rails, close supervision, applying soft restraints as last resorts as necessary. Question 11 Explanation:.

Pad side rails, close supervision, applying soft restraints as last resorts as necessary. In the client with hyperthyroidism, excessive thyroid hormone production leads to hypermetabolism and increased nutrient metabolism. To replenish the fluids lost from polyuria and to promote better blood circulation around the body. Pulse rate of 58 bpm.

Maintenance of blood pressure. Reinforce expectation that emotional control should return as drug therapy progresses. Monitor CBC periodically. Provide safety measures.

Davis Company. Rationale: Protruding eyes may be viewed as unattractive. Question 8 Explanation:. This therapy is contraindicated during pregnancy. Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Fever, decreased mental alertness, and abdominal pain may occur. Elevation of thyroid hormones decreased TSH secretion by negative feedback.

Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing. Other complications related to hyperthyroidism include: Heart-related complications including: Rapid heart rate Congestive heart failure Atrial fibrillation Increased htpothyroidism for boxing slow reflexes and hypothyroidism, if hyperthyroidism is present for a long time Surgery-related complications, including: Scarring of the neck Hoarseness due to nerve damage to the voice box Low calcium level due to damage to the parathyroid glands located near the thyroid gland Treatments for hypothyroidism, such as radioactive iodine, surgery, and medications to replace thyroid hormones can have complications. Rationale: Reduces stimuli that may aggravate agitation, hyperactivity, and insomnia. Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Instructing and teaching patients, as well as performing venipuncture for laboratory samples, are more suited to the educational scope of licensed nurses. Log In.

Returns the patient to the euthyroid normal state; inhibits use of iodine by thyroid gland; blocks oxidation of fo and inhibits thyroid hormone synthesis. Identify stressors and discuss precipitators to thyroid crises: personal or social and job concerns, infection, pregnancy. When hyperthyroidism occurs in the elderly, their symptoms may be more subtle than those of younger persons, and the classic signs may even be absent.

  • Display improved ability to participate in desired activities. Assess level of anxiety.

  • Appearance can be enhanced with proper use of makeup, overall grooming, and use of shaded glasses.

  • If patients are taking propylthiouracil or methimazole, encourage them to take the medications with meals to limit gastric irritation.

  • The most commonly used medications are propylthiouracil Propacil, PTU and methimazole Tapazole until patient is euthyroid.

  • In some facilities, an experienced nursing assistant may perform venipuncture, but only after special training.

Which nursing diagnosis takes highest priority for a client with hyperthyroidism? Reduce hypohyroidism stimuli: Place in quiet room; provide soft, soothing music; reduce bright lights; reduce number of persons contacting patient. Auscultate breath sounds. Question 14 Explanation:. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism. Premature birth and miscarriage. If loading fails, click here to try again.

Hypotension and tachycardia may result from hypovolemia, or low levels of intravascular volume. Your answers are highlighted below. If a woman is suffering from hypothyroidism then the egg may be released less frequently or not at all. Agranulocytosis is the most serious side effect that can occur, and alternative drugs may be given if problems arise. Increased respiratory rate.

  • Rationale: Protruding eyes may be viewed as unattractive.

  • Hyperthyroidism Nursing Care Plan Nursing Diagnosis Risk for Decreased Cardiac Output Risk factors may include Uncontrolled hyperthyroidism, hypermetabolic state Increasing cardiac workload Changes in venous return and systemic vascular resistance Alterations in rate, rhythm, conduction Possibly evidenced by Not applicable.

  • Instruct patient in extraocular muscle exercises if appropriate. In the presence of thyrotoxic paralysis primarily occurring in Asian menclose monitoring and cautious replacement are indicated because rebound hyperkalemia can occur as condition abates releasing potassium from the cells.

  • Increased thirst and increased urination are signs of lithium toxicity.

Please wait while the activity loads. Serial ECGs Rationale: May demonstrate effects of electrolyte imbalance or ischemic changes reflecting inadequate myocardial oxygen supply in presence of increased metabolic demands. Nursing Interventions Review disease process and future expectations. Weigh daily and report losses.

Dehydrration can be various hypothyroidism nursing for the occurrence of the condition: These causes include inflammation of the thyroid glandspresence of autoimmune diseases like autoimmune thyroiditis, atrophy of the thyroid gland caused due to aging, therapies like thyroidectomy can cause the condition, medications containing lithium, and iodine compounds or antithyroid medications can cause the condition to appear. Whereas a medical diagnosis identifies a disorder, a nursing diagnosis identifies the unique ways in which individuals respond to health or life processes or crises. Identify healthy ways to deal with feelings. Stay with patient, maintaining calm manner. Heart sounds. Decreases hyperthermia; relieves relative adrenal insufficiency; inhibits calcium absorption; and reduces peripheral conversion of T 3 from T 4. Clark has hyperthyroidism and is scheduled for a thyroidectomy.

A decreased TSH level indicates a pituitary deficiency of this hormone. A hormonal imbalance is corrected, diet will need to be readjusted to prevent excessive weight gain. Note urine specific gravity.

  • Rationale: Indicates need for reduction or discontinuation of therapy. Similarly, severe illness, malnutrition, or the use of aspirin, corticosteroids, and phenytoin sodium may cause a false decrease in serum thyroid hormone levels.

  • Assess for neurological status. If loading fails, click here to try again.

  • In the client with hyperthyroidism, excessive thyroid hormone production leads to hypermetabolism and increased nutrient metabolism.

  • Administer medications as indicated: Glucose, vitamin B complex, Insulin small doses.

  • Dehydration occurs due to two main mechanisms: inadequate fluid intake and losing fluid more than what is taken. The client complains of ringing in the ears.

The seriousness of the disease depends on the degree of hypersecretion of the thyroid hormones. Remember Me. Pharmacologic Highlights Propylthiouracil PTU an antithyroid agent is given to return the patient to the euthyroid normal state. As a nurse educator sincehis goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. If loading fails, click here to try again. Patients often exhibit fine, thin hair and fragile nails.

Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? Appearance can be enhanced with proper use of makeup, overall grooming, and use of shaded glasses. The clinical condition that results from the abnormally low secretion of the thyroxin hormone is referred to as hypothyroidism. For the patient with hyperthyroidism, what intervention should you delegate to the experienced certified nursing assistant? Maintenance dose is establish, followed by gradual withdrawal of the medication over the next several months. However, the nurse should observe the nursing assistant to be sure that she has mastered this skill. Avoiding personal responses to inappropriate remarks or actions prevents conflicts or overreaction to stressful situation.

Cardiac monitor and oxygen tank. Encourage the patient to follow the medication regimen and reassure him or her while waiting for it to take effect. Provide a balance diet, with six meals per day. You have not finished your quiz.

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Digitalization may be required in patients with HF before [beta]-adrenergic blocking therapy can be considered or safely initiated. May demonstrate the effects of electrolyte imbalance or ischemic changes reflecting inadequate myocardial oxygen supply in the presence of increased metabolic demands. They suggested that more work needs to be done to study the effects of TSH on sudden cardiac death.

One useful strategy is to ensure that significant others are present during all teaching sessions. Severe anxiety progressing to hypothyroidism nursing dx for dehydration state may hypothyroidsm feelings of impending doom, terror, inability to speak or move, shouting or swearing. Encourage patient to restrict activity and rest in bed as much as possible. In: Diseases and Disorders. Risk for Impaired Tissue Integrity 7. Matt Vera is a registered nurse with a bachelor of science in nursing since and is currently working as a full-time writer and editor for Nurseslabs.

The authors found that high TSH levels at baseline were related to a greater risk for total mortality as compared to normal TSH levels. Encourage chair rest or bedrest. Hyperthyroidism is characterized by an increased rate of body metabolism. Rationale: Mild anxiety may be displayed by irritability and insomnia. The most severe form of hyperthyroidism is thyrotoxic crisis, known also as thyroid storm or thyrotoxicosis. Rationale: May be hypervigilant, restless, extremely sensitive, or crying or may develop frank psychosis. Decreases heart rate or cardiac work by blocking [beta]-adrenergic receptor sites and blocking conversion of T 4 to T 3.

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Monitor ECG, noting rate and rhythm. PTU inhibits use of iodine by thyroid gland; blocks oxidation of iodine hypothyroidism nursing dx for dehydration inhibitis thyroid hormone synthesis Methimazole Tapazole an antithyroid agent is given to return the patient to the euthyroid normal state by inhibiting use of iodine by thyroid gland. Thyrotoxicosis has several different pathophysiological causes, including autoimmune disease, functioning thyroid adenoma, and infection. To facilitate the body in cooling down and to provide comfort.

  • Upon assessment, the immediate priority that the nurse would include is:.

  • Other procedures such as blood tests and urine tests can also be performed to confirm the diagnosis. Maintenance of blood pressure.

  • Other complications include parathyroid damage and exacerbation of hyperthyroidism. Rationale: Understanding that the behavior is physically based may enhance coping with current situation and encourage SO to respond positively and provide support for patient.

  • Speak in brief statements.

The most common form of hyperthyroidism is called Graves disease hypothyroidism nursing dx for dehydration thyrotoxicosis. Clinical manifestations are referred to as thyrotoxicosis. They suggested that more work needs to be done to study the effects of TSH on sudden cardiac death. Citation Sommers, Marilyn Sawyer. Observe signs and symptoms of severe thirst, dry mucous membranes, weak or thready pulse, poor capillary refill, decreased urinary output, and hypotension.

  • Davis Company;

  • Question 15 Explanation:.

  • Other Tests: Tests include hour radioactive iodine uptake, thyroid autoantibodies, antithyroglobulin, nuclear thyroid scan, and electrocardiogram. Antithyroid drugs are contraindicated in late pregnancy because of a risk for goiter and cretinism in the fetus.

  • Rationale: Saliva will be radioactive for 24 hours.

  • A manifestation not consistent with her diagnosis is a:.

Dehydratiin Posts. Which for dehydration will the nurse have available for emergency treatment of tetany in the client who has had thyroidectomy? Question 5 Explanation:. Graves disease is also associated with Hashimoto disease, a chronic inflammation of the thyroid gland that usually causes hypothyroidism but can also cause symptoms similar to those of Graves disease. Should be started 1—3 hr after initiation of antithyroid drug therapy to minimize hormone formation from the iodine.

This therapy is contraindicated during pregnancy. Graves disease is associated with hyperthyroidism, eye disorders, and skin disorders, and when uncontrolled, d organs are stressed to their capacity. Desired Outcomes Maintain adequate cardiac output for tissue needs as evidenced by stable vital signs, palpable peripheral pulses, good capillary refill, usual mentation, and absence of dysrhythmias. Maintain the function of the parathyroid glands.

Rationale: Attention span may be shortened, concentration reduced, limiting ability to assimilate information. Reinforce expectation that emotional control should return as drug therapy progresses. Teach the patient to report increased neck swelling, difficulty swallowing, or weight loss. Activity Intolerance —may be related to fatigue, exhaustion secondary to excessive metabolic rate.

  • The skin may have a sheen of perspiration or be salmon colored.

  • Rationale: Provides knowledge base from which patient can make informed choices. The condition can result from discontinuation of antithyroid medication or as a result of untreated or inadequate treatment of hyperthyroidism.

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  • Rationale: Increased irritability of the CNS may cause patient to be easily excited, agitated, and prone to emotional outbursts. Citation Sommers, Marilyn Sawyer.

Risk for ineffective tissue perfusion related to decreased blood flow. Administer medications as indicated: Methylcellulose drops Rationale: Lubricates fx eyes, reducing risk of lesion formation. Acts to prevent release of thyroid hormone into circulation by increasing the amount of thyroid hormone stored within the gland. Dehydration can easily be prevented by regular fluid intake. Question 9 Explanation:. Avoiding personal responses to inappropriate remarks or actions prevents conflicts or overreaction to stressful situation.

The client complains of increased weight gain over the past year. Decreases heart rate or cardiac work by blocking [beta]-adrenergic receptor sites and blocking conversion of T 4 to T 3. READ: Does quantum physics support law of attraction? Antithyroid drugs Rationale: May decrease signs and symptoms or prevent worsening of the condition. Administer medications as indicated: Glucose, vitamin B complex, Insulin small doses. Which of the following nursing assessment is the most important in the patient with hyperthyroidism and risk for thyrotoxic crisis or thyroid storm? Consult with dietitian to provide diet high in calories, protein, carbohydrates, and vitamins.

Instructing and teaching patients, hypothyroidism nursing dx for dehydration well as performing venipuncture for laboratory samples, are more suited to the educational scope of licensed nurses. Eehydration blog illustrates in great depth the tips that the nursing-professional needs to do so that the patients suffering from the condition get the best care. Encourage chair rest or bedrest. Risk for Hyperthermia —may be related to lack of metabolic compensatory mechanisms secondary to hyperthyroidism. Rationale: Provides information and reassures patient that the situation is temporary and will improve with treatment.

Decrease systolic blood pressure. Remember that excessive palpation of the thyroid gland can precipitate thyroid storm; therefore, palpate gently and only when necessary. Similarly, severe illness, malnutrition, or the use of aspirin, corticosteroids, and phenytoin sodium may cause a false decrease in serum thyroid hormone levels. Stress necessity of continued medical follow-up. Monitor central venous pressure CVPif available. If you recognize the patient's inability to maintain long cognitive or physical attention spans, you will have better success at patient education. Rationale: Improves circulation and maintains mobility of the eyelids.

Cardiac enlargement may occur in response to increased circulatory demands. Widened pulse pressure reflects compensatory increase in stroke volume and decreased systemic vascular resistance SVR. Thyrotoxicosis has several different pathophysiological causes, including autoimmune disease, functioning thyroid adenoma, and infection. I like super stuff.

Explain possible side effects of the treatment. Provide information appropriate to individual situation. If thyroid storm is suspected, emergency treatment needs to be instituted immediately. Rationale: May be hypervigilant, restless, extremely sensitive, or crying or may develop frank psychosis.

A decreased TSH level. Fatigue 3. May be done to achieve rapid depletion of extrathyroidal hormone pool in a desperately ill or comatose patient.

Risk for Impaired Tissue Integrity: Corneal—may be nursiing to inability to close eyelids secondary to exophthalmos. Administer medications as indicated: Sedatives: phenobarbital Luminalantianxiety agents: chlordiazepoxide Librium Rationale: Combats nervousness, hyperactivity, and insomnia. Rationale: Early sign of pulmonary congestion, reflecting developing cardiac failure. Administer IV fluids as indicated. Potassium chloride.

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Good luck! You have not finished your quiz. You have completed. Rationale: Prevents hypothyroidism nursing dx for dehydration to patient who may be hallucinating or disoriented. Discuss ways to respond to these feelings. Antithyroid drugs Rationale: May decrease signs and symptoms or prevent worsening of the condition. Hypovolemia due to GI bleeding may lower blood pressure levels and put the patient at risk for hypotensive episodes that lead to shock.

Pad side rails, close supervision, applying soft restraints as last resorts as necessary. Instruct hypothyroidism nursing dx for dehydration take medications with meals to minimize GI distress and to avoid OTC cough preparations because many contain iodine. Chest x-rays Rationale: Cardiac enlargement may occur in response to increased circulatory demands. Rationale: Antithyroid medication either as primary therapy or in preparation for thyroidectomy requires adherence to a medical regimen over an extended period to inhibit hormone production.

Which medication will the nurse have available dehyrration emergency treatment of tetany in the client who has had thyroidectomy? Rationale: May be done to achieve rapid depletion of extrathyroidal hormone pool in desperately ill or comatose patient. Below-normal levels of T3 and T4, as detected by radioimmunoassay, signal hypothyroidism. Rationale: Anxiety may alter thought processes.

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