NCLEX study from Mark Klimek with

NCLEX study from Mark Klimek with verified solutions

Hyperthyroidism is also called ✔✔Grave's disease or hypermetabolism

Tip to remember Grave's disease s/s's ✔✔"Run yourself into the Grave" - everything is up ...diarrhea, thin, hot, high BP, high HR, cold tolerance, hot intolerance

Treatment for Grave's disease ✔✔Radioactive Iodine, PTU (put thyroid under), surgically remove

Total thyroidectomy ... totals get ✔✔tetany, need lifelong hormone replacement

After thyroidectomy patients are at risk for ✔✔hypocalcemia, remember hypocalcemia is opposite of the prefix and anything to BP so tetany, parasthesia

parathesia ✔✔numbness and tingling, first sign of electrolyte imbalance

Subtotal thyroidectomy ... subs get ✔✔storm

S/S of thyroid storm ✔✔Extremely high vital signs, hyperpyrexia, psychotic delerium

How to treat thyroid storm ✔✔give o2, lower temp to spare brain

Risks post op for total thyroidectomy ✔✔airway, hemorrhage for 1st 12 hours then for 12-48 hours hypocalcemia leading to tetany

Risks post op for sub total thyroidectomy ✔✔airway, hemorrage for 1st 12 hours then for 12-48 hours thyroid storm

Hypothyroidism is also called ✔✔Myxedema or hypometabolism

S/S of mydexema ✔✔everything is down, constipation, heat tolerance, cold intolerance

Treatment for mydexema ✔✔give thyroid medications

Where to put the 5 ice packs to cool a thyroid storm patient ✔✔neck pits groin

If you cool a patient too fast what might happen? ✔✔Heart arrythmias

Never hold the hormone for what patient? ✔✔patient who is NPO with mydexema

Addison's disease easy way to remember ✔✔Add a Sone (sone = steroid)

Adrenal Cortex diseases easy way to remember ✔✔A in Adrenal stands for Addison's C in Cortex stands for Cushing's

Addison's disease is ✔✔undersecretion of adrenal cortex, not enough hormone, BRONZE/tan, go into shock very easily. STRESS can trigger.

Addison's disease treatment ✔✔give a steroid, chronic steroid therapy

Cushing's syndrome ✔✔Over secretion of adrenal cortex, too much hormone, too much steroid.

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,

Treatment for Cushing's syndrome ✔✔Surgery, bi or uni lateral adrenalectomy (bilateral is worse)

Donning PPE's order ✔✔Gown, Mask, Goggles, Gloves

Removing PPE's order ✔✔alphabetically inside the room

For airborne precautions the mask is removed where? ✔✔outside of the room

Avoid answers with what words for children 9 mths and younger? ✔✔build, sort, stack, construct, make

Toddlers (1-3) work on ✔✔their gross motor skills (jump, hop, throw), NO fine motor, parallel play