Which finding would the nurse expect when assessing a patient with hyperthyroidism?

Quiz that contains NCLEX questions for Grave’s Disease. Grave’s Disease is a cause of hyperthyroidism. As the nurse taking care of a patient with Grave’s Disease, it is important you know the typical signs and symptoms, patient education, and treatments.

The NCLEX exam loves to ask questions about patient education, common side effects of medications, and major signs and symptoms the patient can exhibit with this condition.

It is important to not confuse Grave’s Disease with Hashimoto’s Disease, which is a complication of hypothyroidism.

This quiz will test you on:

• Signs and symptoms of Grave’s Disease
• Medications used to treat Grave’s Disease
• Treatments for Grave’s Disease

Grave's Disease NCLEX Questions

This quiz will test your knowledge on Grave's Disease for the NCLEX exam.

• 1. Which of the following statements are CORRECT about Grave's Disease?*
  • A. Grave's Disease is caused by independently functioning nodular goiters producing excessive amounts of T3 and T4.
  • B. Grave's Disease is a complication of untreated hypothyroidism.
  • C. Grave's Disease is caused by an autoimmune condition where the body produces an antibody called TSI (which acts like TSH on the body).
  • D. Grave's Disease patients do not present with protruding eyes or a goiter, as in Toxic Nodular Goiter (TNG).

• 2. As the nurse educating the patient about Grave's Disease, which of the following statements by the patient ensures the patient understood the education about their condition?*
  • A. "I could experience myxedema coma, which is life-threatening, if I abruptly stop taking my antithyroid medication."
  • B. "Grave's disease is due to an excessive amount of thyroid hormone in the body."
  • C. "I will be sure to eat a lot of kelp because it helps with decreasing thyroid hormone levels."
  • D. "If I have pain I will only take aspirin."

• 3. A patient is post-opt from a thyroidectomy for treatment of Grave's Disease. When you walk into the patient's room to perform an assessment, which of the following findings causes the MOST concern and needs nursing intervention?*
  • A. The patient complains of a pain rating of 4 on 1-10 at the surgical site.
  • B. The patient is positioned in supine position.
  • C. The patient's Foley catheter is draining 50 cc of urine per hour.
  • D. The patient is splinting the neck while coughing and deep breathing.

• 4. A patient is receiving radioactive iodine as treatment for Grave's Disease. Which of the following are common side effects of the treatment? Select all that apply:*
  • A. Nausea
  • B. Taste changes
  • C. Excessive saliva
  • D. Swollen salivary glands

• 5. A patient is being treated for Grave's Disease. They have a health history of type 1 diabetes, breast cancer, eczema, and hypertension. The physician orders Inderal. What important information will you include in their discharge teaching about this medication?*
  • A. Importance of taking the medication only as needed for symptoms.
  • B. Avoid aged cheeses and wines while taking this medication.
  • C. Monitor blood glucose levels closely because this medication can mask the signs and symptoms of hypoglycemia.
  • D. Monitor heart rate regularly because this medication will increase the heart rate.

• 6. Select all that apply: Which of the following are signs and symptoms of Grave's Disease:*
  • A. Heat Intolerance
  • B. Weight gain
  • C. Bradycardia
  • D. Goiter
  • E. Pretibial Myxedema
  • F. Cold intolerance
  • G. Ophthalmopathy changes
  • H. Fast Heart Rate

• 7. A patient is started on Tapazole (Methimazole) for treatment of Grave's Disease. Which statement by the patient indicates they understood your teaching about this medication?*
  • A. "If I experience fast heart, excessive sweating, or fever, I will notify the doctor immediately because I may be experiencing toxicity of the medication."
  • B. "I know it may take a while before I feel relief of symptoms, therefore, I will never abruptly stop taking my medication."
  • C. "This medication can cause high blood glucose."
  • D. "I will make sure my diet is rich in foods containing iodine."

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Lecture on Grave’s Disease

1.       Which of the following statements are CORRECT about Grave’s Disease?

A.      Grave’s Disease is caused by independently functioning nodular goiters producing excessive amounts of T3 and T4.

B.      Grave’s Disease is a complication of untreated hypothyroidism.

C.      Grave’s Disease is caused by an autoimmune condition where the body produces an antibody called TSI (which acts like TSH on the body).

D.      Grave’s Disease patients do not present with protruding eyes or a goiter, as in Toxic Nodular Goiter (TNG).

2.       As the nurse educating the patient about Grave’s Disease, which of the following statements by the patient ensures the patient understood the education about their condition?

A.      “I could experience myxedema coma, which is life-threatening, if I abruptly stop taking my medication.”

B.      “Grave’s disease is due to an excessive amount of thyroid hormone in the body.”

C.      “I will be sure to eat a lot of kelp because it helps with decreasing thyroid hormone levels.”

D.      “If I have pain I will only take aspirin.”

3.       A patient is post-opt from a thyroidectomy for treatment of Grave’s Disease. When you walk into the patient’s room to perform an assessment, which of the following findings causes the MOST concern and needs nursing intervention?

A.      The patient complains of a pain rating of 4 on 1-10 at the surgical site.

B.      The patient is positioned in supine position.

C.      The patient’s Foley catheter is draining 50 cc of urine per hour.

D.      The patient is splinting the neck while coughing and deep breathing.

4.       A patient is receiving radioactive iodine as treatment for Grave’s Disease. Which of the following are common side effects of the treatment? Select all that apply:

A.       Nausea

B.       Taste changes

C.       Excessive saliva

D.       Swollen salvia glands

5.       A patient is being treated for Grave’s Disease. They have a health history of type 1 diabetes, breast cancer, eczema, and hypertension. The physician orders Inderal. What important information will you include in their discharge teaching about this medication?

A.      Importance of taking the medication only as needed for symptoms.

B.      Avoid aged cheeses and wines while taking this medication.

C.      Monitor blood glucose levels closely because this medication can mask the signs and symptoms of hypoglycemia.

D.      Monitor heart rate regularly because this medication will increase the heart rate.

6.       Select all that apply: Which of the following are signs and symptoms of Grave’s Disease:

A.      Heat Intolerance

B.      Weight gain

C.      Bradycardia

D.      Goiter

E.       Pretibial Myxedema

F.       Cold intolerance

G.     Ophthalmopathy changes

H.      Fast Heart Rate

7.       A patient is started on Tapazole (Methimazole) for treatment of Grave’s Disease. Which statement by the patient indicates they understood your teaching about this medication?

A.      “If I experience fast heart, excessive sweating, or fever, I will notify the doctor immediately because I may be experiencing toxicity of the medication.”

B.      “I know it may take a while before I feel relief of symptoms, therefore, I will never abruptly stop taking my medication.”

C.      “This medication can cause high blood glucose.”

D.      “I will make sure my diet is rich in foods containing iodine.”

Answer Key
1. C
2. B
3. B
4. A, B, D
5. C
6. A, D, E, G, H
7. B
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