The nurse is caring for a patient with Graves disease. On which laboratory value should the nurse focus for this patient?
1. thyroxine
2. urine-specific gravity
3. cortisol
4. calcium
Correct Answer: 1
Thyroxine (T4) is the hormone secreted by the thyroid gland. Thyroxine (T4) is converted to triiodothyronine (T3), and both are secreted in response to thyroid-stimulating hormone (TSH). Urine-specific gravity would be measured to provide information about the posterior pituitary. The adrenal gland produces cortisol. The parathyroid gland regulates calcium and phosphorous.
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What would be the first action by the nurse for a client with a hip arthroplasty when the affected leg was noted to be rotated outward, pale in coloring, diminishing pulses palpated, skin temperature cool to touch, and shortening in length noted?
1. Ask about changes in pain levels. 2. Call the health care provider. 3. Replace the leg and foot to proper alignment with toes upward. 4. Reinforce proper positioning by putting the abductor pillow in place.
In planning the care of the client receiving thyroid medication, the nurse would identify which of the following as an appropriate nursing diagnosis:
a. Risk for injury related to altered calcium levels. b. Disturbed sleep pattern related to thyroid dysfunction. c. Knowledge deficit related to effects of deficiency of thyroid hormone. d. Pain related to ulcerogenic effects of thyroid hormone preparations.
The nurse performs a medication history and learns that the patient takes a thiazide diuretic and digoxin (Lanoxin). The nurse will question the patient to ensure that the patient is also taking which medication?
a. Cortisone b. Lidocaine c. Nitroglycerin d. Potassium