1.Hyperthyroidism is also called: Grave’s disease or hypermetabolism
2.Tip to remember Grave’s disease s/s’s: “Run yourself into the Grave” –
every- thing is up … diarrhea, thin, hot, high BP, high HR, cold
tolerance, hot intolerance
3.Treatment for Grave’s disease: Radioactive Iodine, PTU (put thyroid
under), surgically remove
4.Total thyroidectomy … totals get: tetany, need lifelong hormone
replacement
5.After thyroidectomy patients are at risk for: hypocalcemia, remember
hypocal- cemia is opposite of the prefix and anything to BP so tetany,
parasthesia
6.parathesia: numbness and tingling, first sign of electrolyte imbalance
7.Subtotal thyroidectomy … subs get: storm
8.S/S of thyroid storm: Extremely high vital signs, hyperpyrexia,
psychotic deleri- um
9.How to treat thyroid storm: give o2, lower temp to spare brain
10.Risks post op for total thyroidectomy: airway, hemorrhage for 1st 12
hours then for 12-48 hours hypocalcemia leading to tetany
11.Risks post op for sub total thyroidectomy: airway, hemorrage for 1st 12
hours then for 12-48 hours thyroid storm
12.Hypothyroidism is also called: Myxedema or hypometabolism
13.S/S of mydexema: everything is down, constipation, heat tolerance,
cold intol- erance
14.Treatment for mydexema: give thyroid medications
15.Where to put the 5 ice packs to cool a thyroid storm patient: neck pits
groin
16.If you cool a patient too fast what might happen?: Heart arrythmias
17.Never hold the hormone for what patient?: patient who is NPO with
mydexe- ma
18.Addison’s disease easy way to remember: Add a Sone (sone = steroid)
19.Adrenal Cortex diseases easy way to remember: A in Adrenal stands
for Addison’s
C in Cortex stands for Cushing’s
20.Addison’s disease is: undersecretion of adrenal cortex, not enough
hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.
21.Addison’s disease treatment: give a steroid, chronic steroid therapy
22.Cushing’s syndrome: Over secretion of adrenal cortex, too much
1 / 3
2 / 14
hormone, too much steroid.
23.S/S of Cushing’s syndrome: same as steroid use … moon face, think
cushman “I’m mad I have an infection”, high blood sugar, losing
Potassium,
24.Treatment for Cushing’s syndrome: Surgery, bi or uni lateral
adrenalectomy (bilateral is worse)
25.Donning PPE’s order: Gown, Mask, Goggles, Gloves
2 / 3
3 / 14
26.Removing PPE’s order: alphabetically inside the room
27.For airborne precautions the mask is removed where?: outside of the
room
28.Avoid answers with what words for children 9 mths and younger?:
build, sort, stack, construct, make
29.Toddlers (1-3) work on: their gross motor skills (jump, hop, throw),
NO fine motor, parallel play
30.Preschoolers (3-6) work on: fine motor, balance (tumbling, dance,
tricycle), cooperative play, pretend
31.School age (7-11) work on: creative, collect, competitive
32.Best default order for click and drag order questions?: Hold….med
Assess ….. what med
does Prepare …… the
correction Call ….. or
notify
33.Rarely if ever answer …: call Doctor, NCLEX wants you to think
critically
34.Creatinine lab values: same as lithium 0.6-1.2 Not a huge worry, not a
danger- ous lab to worry about
35.INR lab values: 2-3, critical value if off, potential for patient to bleed.
Use default order for order ?’s (hold all coumadin, assess for bleeding,
prepare Vit K (antidote for Coumadin), Call or notify
36.Potassium lab values: 3.5-5.3 If low it is a critical lab to worry about
assess the heart and then prepare to give K
if high, hold all K, assess heart (EKG), give D5W and reg insulin, call
if really high, hold, assess, prepare, call STAT Get someone else
involved! Danger- ous!!
37.pH lab values: 7.35-7.45 if pH is in the 6;s VERY dangerous
remember as the patient’s pH goes so goes the patient
If bad vitals, call rapid response team
38.BUN lab values: 8-30 check for dehydration if elevated not a big
deal, just be concerned
39.If a deadly or dangerous lab value is discovered AND they have
symptoms call the: rapid response team!
40.HgB lab values: 12-18 check for bleeding if low or high, if low
prepare for tranfussion
41.HCO3 lab values: 22-26 if it is abnormal so what!
42.CO2 lab values: 35-45 if in the 50’s assess respiratory status and
have patient do pursed lip breathing, if in 60’s considered deadly and