Linton: Introduction to Medical-Surgical Nursing, 6th Edition
Chapter 47: Thyroid and Parathyroid Disorders
Answer Key – Open-Book Quiz
1. Measure the patient’s vital signs and height and weight; note the facial expression and
characteristics of mental alertness; inspect and palpate the skin for moisture,
2. Hyperthyroidism is characterized by abnormally increased synthesis and secretion of
thyroid hormones. Signs and symptoms include weight loss and nervousness in
3. It usually takes several weeks before the effects of the thionamides are noticeable.
The drugs may be given for months or years. The goal is to induce a remission that
4. The preoperative assessment is similar to that for other major surgeries. Ask what the
patient knows about the surgery and what to expect after the procedure, attempt to
6. In general, the signs and symptoms of hypothyroidism and hyperthyroidism are
opposite. Patients with hypothyroidism commonly report lethargy, forgetfulness,
7. Know that after hormone replacement therapy has begun, there is some risk of cardiac
stimulation. Monitor the patient for signs of heart failure, tell the patient that chest
8. Goiter is the term used to describe enlargement of the thyroid gland. The type of
treatment depends on the degree of enlargement and level of thyroid hormone
9. The diagnosis of hyperparathyroidism is based primarily on blood and urine studies