Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
a. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excessb. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
c. Body image disturbance related to weight gain and edema
d. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Answer D.
In the client with hyperthyroidism, excessive thyroid hormone production leads to hypermetabolism and increased nutrient metabolism. These conditions may result in a negative nitrogen balance, increased protein synthesis and breakdown, decreased glucose tolerance, and fat mobilization and depletion. This puts the client at risk for marked nutrient and calorie deficiency, making Imbalanced nutrition: Less than body requirements the most important nursing diagnosis. Options B and C may be appropriate for a client with hypothyroidism, which slows the metabolic rate.What are the nursing priorities for hyperthyroidism?
Nursing Interventions
Obtain weight daily. Provide a high-calorie diet. Avoid the administration of stimulants. Administer antithyroid medications (propylthiouracil [PTU]) that block thyroid synthesis, as prescribed.
Which of the following nursing diagnoses would be most appropriate for the client with decreased thyroid function?
Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are: Activity intolerance related to fatigue and depressed cognitive process. Risk for imbalanced body temperature related to cold intolerance. Constipation related to depressed gastrointestinal function.
What clinical manifestations does the nurse recognize would be associated with a diagnosis of hyperthyroidism?
Hyperthyroidism may manifest as weight loss despite an increased appetite, palpitation, nervousness, tremors, dyspnea, fatigability, diarrhea or increased GI motility, muscle weakness, heat intolerance, and diaphoresis.
What is a nursing priority in the care of a client with hypothyroidism?
Nursing Management
Assess client weight and appetite. Consult with a dietitian to provide a menu for the patient (an increased fiber to counter constipation) Educate the patient and family. Manage constipation with laxatives. Encourage patient to use moisturizer if the skin is dry.
Which condition should a nurse expect to find in a client diagnosed with hyperparathyroidism?
Explanation: The nurse should know the parathyroid glands regulate serum calcium levels; in hyperparathyroidism, serum calcium levels are elevated.
What is the most common disorder leading to hyperthyroidism?
Graves' disease, the most common cause of hyperthyroidism, is an autoimmune disorder. With this disease, your immune system attacks the thyroid and causes it to make too much thyroid hormone.
What is the most important thing in the diagnosis of thyroid diseases?
One of the most definitive ways to diagnose a thyroid problem is through blood tests. Thyroid blood tests are used to tell if your thyroid gland is functioning properly by measuring the amount of thyroid hormones in your blood. These tests are done by taking blood from a vein in your arm.
What are the goals for a patient with hyperthyroidism?
The treatment of hyperthyroidism depends on the cause and severity of the disease, as well as on the patient's age, goiter size, comorbid conditions, and treatment desires. The goal of therapy is to correct the hypermetabolic state with the fewest side effects and the lowest incidence of hypothyroidism.
Which nursing diagnosis should be prioritized?
Acute, uncompensated conditions generally require priority interventions over chronic conditions. Additionally, actual problems generally receive priority over potential problems, but risk problems sometimes receive priority depending on the patient vulnerability and risk factors.
How does hyperthyroidism affect female hormones?
Thyroid disorders can cause puberty and menstruation to occur abnormally early or late. In addition, abnormally high or low levels of thyroid hormone can cause very light or very heavy menstrual periods, very irregular menstrual periods, or absent menstrual periods (a condition called amenorrhea).
What are 4 major clinical symptoms of hyperthyroidism?
Most patients with overt hyperthyroidism have a dramatic constellation of symptoms. The classic symptoms of hyperthyroidism include heat intolerance, tremor, palpitations, anxiety, weight loss despite a normal or increased appetite, increased frequency of bowel movements, and shortness of breath.
Which disorder is caused by hyperthyroidism?
Graves' disease is an immune system disorder that results in the overproduction of thyroid hormones (hyperthyroidism).
What is a major complication of hyperthyroidism?
Over time, severe, untreated hyperthyroidism can lead to an irregular heartbeat, which in turn can cause problems such as blood clots, heart failure, and stroke. Once again, treatment for hyperthyroidism is essential to preventing heart problems in people with Graves' disease, says Mikhael.
What are some differential diagnosis for hyperthyroidism?
Differential Diagnosis
Palpation of a normal thyroid gland in the context of hyperthyroidism can be due to Graves disease, painless thyroiditis, or factitious hyperthyroidism (thyrotoxicosis factitia). Graves disease can also present as a non-tender, enlarged thyroid.
What is the expected diagnostic finding in hyperthyroidism?
Blood Tests Blood tests are performed that measure the levels of the thyroid hormones, T4and T3, which must be high to make a diagnosis of hyperthyroidism. The level of thyroid stimulating hormone (TSH) also is measured. With hyperthyroidism TSH is low while T4 and T3 levels are high.
What hormone decreases in hyperthyroidism?
Hyperthyroidism: Disorders of the thyroid gland can result in excess T3 and T4 production along with the compensatory decrease of TSH.
What hormones are affected by hyperthyroidism?
If you have an overactive thyroid (hyperthyroidism), your thyroid gland produces too much of the thyroid hormones. This results in high levels of the 2 main thyroid hormones, triiodothyronine (also called T3) and thyroxine (also called T4) in your body.
What hormone is imbalanced in both hypothyroidism and hyperthyroidism?
TSH imbalance can cause serious health problems and numerous symptoms. Most of these symptoms are signs of hypothyroidism or hyperthyroidism: Weight gain. Fatigue.Feb 25, 2020
What is the highest nursing priority?
The ABCs identifies the airway, breathing and cardiovascular status of the patient as the highest of all priorities in that sequential order.
Which nursing diagnosis has the highest priority?
Based only on Maslow's hierarchy of needs, which nursing diagnosis should have the highest priority? Highest priority is given to problems that are life threatening or that could be destructive to the client. Safety is most basic in Maslow's hierarchy.
Which of the following nursing diagnosis has the highest priority?
The nursing diagnoses that has the highest priority is: Airway clearance, ineffective, related to neuromuscular disorder as evidenced by choking and coughing while eating. A patient with visual impairment is identified as at risk for falls related to blindness.
Which patient need has the highest priority?
Rationale: Preventing DVT is a physiologic need and is the highest priority need. A patient in isolation might have unmet love and belonging needs (3rd in priority). A patient who lost a spouse might have unmet self-esteem needs (4th in priority).
What are 3 nursing priorities for patient care?
Prioritization begins with determining immediate threats to life as part of the initial assessment and is based on the ABC pneumonic focusing on the airway as priority, moving to breathing, and circulation (Ignatavicius et al., 2018).
