Question 1

The pyramidal lobe of the thyroid is described as:

Accepted Answer

A)  a small lobe often involved in 30% of cases of thyroid dysfunction. 
B)  a protrusion of an immature thyroglossal duct cyst overgrowth. 
C)  a thin upward protrusion of thyroid tissue from the isthmus. 
D)  a vestige of an embryonic thyroid cyst. 
A)  a small lobe often involved in 30% of cases of thyroid dysfunction. 
B)  a protrusion of an immature thyroglossal duct cyst overgrowth. 
C)  a thin upward protrusion of thyroid tissue from the isthmus. 
D)  a vestige of an embryonic thyroid cyst.

Question 2

Linda Martinez,a 61-year-old woman with nontoxic nodular goiter,is scheduled for a subtotal thyroidectomy to relieve esophageal obstruction and rule out a malignant nodule.Select the statement that best describes Linda's thyroid dysfunction and cause.

Accepted Answer

A)  Hypothyroidism resulting from inflammatory impairment of cells that produce hormones 
B)  Hyperthyroidism resulting from overproduction of enlarged normal thyroid cells 
C)  Hypothyroidism resulting from insufficient hormone production,increasing thyroid tissue proliferation 
D)  Hyperthyroidism resulting from malignant spread of mutated hormone producing tissue 
A)  Hypothyroidism resulting from inflammatory impairment of cells that produce hormones 
B)  Hyperthyroidism resulting from overproduction of enlarged normal thyroid cells 
C)  Hypothyroidism resulting from insufficient hormone production,increasing thyroid tissue proliferation 
D)  Hyperthyroidism resulting from malignant spread of mutated hormone producing tissue

Question 3

Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to medical therapy.She is scheduled for a subtotal thyroidectomy.What condition,a complication of Graves' disease,is her probable indication for a subtotal thyroidectomy?

Accepted Answer

A)  Tracheal obstruction 
B)  Diffuse unilateral enlargement of a lobe 
C)  Hyperthyroidism with cricothyroid compression 
D)  Autoimmune hypothyroidism 
A)  Tracheal obstruction 
B)  Diffuse unilateral enlargement of a lobe 
C)  Hyperthyroidism with cricothyroid compression 
D)  Autoimmune hypothyroidism

Question 4

Melissa Pepe is a 17-year-old female with cancer of the thyroid secondary to leukemia,which went into remission 7 years earlier.She is in good health and eager to get back to school in time for the prom and final exams;however,she is very concerned about scarring from the surgery.The circulating nurse sat with Melissa and encouraged her to discuss her fears and expectations.Together,they collaborated on a plan for Melissa's discharge and care of her incision.The nurse documented Melissa's nursing diagnosis as:Disturbed Body Image related to surgical scar in prominent location.The nurse discussed Melissa's concerns with the surgical team before the incision was made.Melissa had a minimally invasive thyroidectomy approach,which left a small scar that was closed with a 4-0 nonabsorbable subcuticular suture.In the postoperative phase,the nurse provided Melissa with her postoperative education relative to her incision.Select all the incision care instructions that would be relevant for Melissa.

Accepted Answer

A)  Instruct Melissa to focus on positive feelings related to body image. 
B)  Instruct Melissa in postoperative turning measures that decrease strain on the suture line. 
C)  Suggest accessories (e.g.,jewelry,scarves,and certain necklines) that can be used to cover the scar until normal fading occurs. 
D)  Instruct her to refrain from prolonged exposure to direct sunlight or tanning salons while the incision is healing. 
E)  Use cosmetic creams with cocoa butter to decrease scarring and discoloration. 
A)  Instruct Melissa to focus on positive feelings related to body image. 
B)  Instruct Melissa in postoperative turning measures that decrease strain on the suture line. 
C)  Suggest accessories (e.g.,jewelry,scarves,and certain necklines) that can be used to cover the scar until normal fading occurs. 
D)  Instruct her to refrain from prolonged exposure to direct sunlight or tanning salons while the incision is healing. 
E)  Use cosmetic creams with cocoa butter to decrease scarring and discoloration.

The pyramidal lobe of the thyroid is described as:

Linda Martinez,a 61-year-old woman with nontoxic nodular goiter,is scheduled for a subtotal thyroidectomy to relieve esophageal obstruction and rule out a malignant nodule.Select the statement that best describes Linda's thyroid dysfunction and cause.

Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to medical therapy.She is scheduled for a subtotal thyroidectomy.What condition,a complication of Graves' disease,is her probable indication for a subtotal thyroidectomy?

Concepts Basic to Perioperative Nursing

Patient Safety and Risk Management

Infection Prevention and Control in the Perioperative Setting

Anesthesia

Positioning the Patient for Surgery

Sutures, Needles, and Instruments

Surgical Modalities

Wound Healing, Dressings, and Drains

Postoperative Patient Care and Pain Management

Gastrointestinal Surgery

Surgery of the Liver, Biliary Tract, Pancreas, and Spleen

Repair of Hernias

Gynecologic and Obstetric Surgery

Genitourinary Surgery

Breast Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Orthopedic Surgery

Neurosurgery

Plastic and Reconstructive Surgery

Thoracic Surgery

Vascular Surgery

Cardiac Surgery

Pediatric Surgery

Geriatric Surgery

Trauma Surgery

Interventional Radiology

Integrated Health Practices:Complementary and Alternative Therapies

Workplace Issues and Staff Safety

Filters

Exam 15: Thyroid and Parathyroid Surgery

The pyramidal lobe of the thyroid is described as:

Linda Martinez,a 61-year-old woman with nontoxic nodular goiter,is scheduled for a subtotal thyroidectomy to relieve esophageal obstruction and rule out a malignant nodule.Select the statement that best describes Linda's thyroid dysfunction and cause.

Pamela Morris is a 62-year-old woman with a 4-year history of Graves' disease that has not responded to medical therapy.She is scheduled for a subtotal thyroidectomy.What condition,a complication of Graves' disease,is her probable indication for a subtotal thyroidectomy?

Concepts Basic to Perioperative Nursing

Patient Safety and Risk Management

Infection Prevention and Control in the Perioperative Setting

Anesthesia

Positioning the Patient for Surgery

Sutures, Needles, and Instruments

Surgical Modalities

Wound Healing, Dressings, and Drains

Postoperative Patient Care and Pain Management

Gastrointestinal Surgery

Surgery of the Liver, Biliary Tract, Pancreas, and Spleen

Repair of Hernias

Gynecologic and Obstetric Surgery

Genitourinary Surgery

Breast Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Orthopedic Surgery

Neurosurgery

Plastic and Reconstructive Surgery

Thoracic Surgery

Vascular Surgery

Cardiac Surgery

Pediatric Surgery

Geriatric Surgery

Trauma Surgery

Interventional Radiology

Integrated Health Practices:Complementary and Alternative Therapies

Workplace Issues and Staff Safety

Filters