Describe the anatomy of the thyroid gland, Other Subject

Describe the anatomy of the thyroid gland:

Mrs. Duarte is a 40 year old woman who has scheduled an appointment with her primary HCP to assess a lump that has developed on the left side of her neck.  Mrs. Duarte explains to her HCP that she has noticed a swollen area on the left side of her neck that has been increasing in size. She states, "I am really afraid I have cancer. I eat plenty but seem to be losing weight. I have lost 10 lbs in 2 months.  I have been very agitated and irritable.  Perhaps I am nervous about the possibility that this lump is cancer."

Parameter

Values

Temp

98.8 F

HR

128

RR

24

BP

142/64

The HCP notes that Mrs. Duarte's hands have a fine tremor and she has mild periorbital edema indicative of exophthalmos.  On physical assessment, the HCP palpates a smooth, soft, enlarged left lobe of the thyroid gland.  The HCP places the bell of the stethoscope over the swollen area and auscultates a bruit. Further discussion reveals that Mrs. Duarte has been having difficulty sleeping, thinning hair, and loose bowel movements.  Concerned that Mrs. Duarte has a thyroid disorder, the HCP orders serum lab testing to assess the client's levels of TSH (thyroid stimulating hormone), FT4 (free tetraiodothyronine/ thyroxine), and schedules the client for a radioactive iodine uptake test. 

1.  Describe the anatomy of the thyroid gland, its hormone production, and briefly describe its function.

2.  Does the HCP suspect that Mrs. Duarte has hypothyroidism or hyperthyroidism?  Identify the clinical manifestations that support your answer.

3.   Identify 3 nursing diagnoses appropriate for Mrs. Duarte.

4.   The HCP heard a bruit over the thyroid gland.  Is this a normal or abnormal finding?  Explain what a bruit is and what it means.

5.  Mrs. Duarte is noted to have mild periorbital edema.  What causes this edema?  What are the potential complications that can arise?  What suggestions can the nurse offer for minimizing the potential complications and discomfort if the edema worsens?

6. Briefly explain what the TSH and FT4 tests measure and provide the normal range for each.  What TSH and FT4 test results will confirm the suspected thyroid disease identified in question 2?

7. Explain to Mrs. Duarte how the radioactive uptake test is conducted and how the results will help the HCP confirm Mrs. Duarte's diagnosis.

Mrs. Duarte undergoes RAI therapy and develops hypothyroidism following the therapy.  She is prescribed Levothyroxine.  She asks the nurse what the medicine is for, and how long she will have to take it.  Provide the client with teaching regarding the rationale for the prescribed Levothyroxine and her question regarding the length of treatment.

Posted Date: 2/15/2013 12:31:50 AM | Location : United States







Related Discussions:- Describe the anatomy of the thyroid gland, Assignment Help, Ask Question on Describe the anatomy of the thyroid gland, Get Answer, Expert's Help, Describe the anatomy of the thyroid gland Discussions

Write discussion on Describe the anatomy of the thyroid gland
Your posts are moderated
Related Questions
Benefits Smart cards can be used for recognition, authentication, and data storage. Smart cards offer a means of implementation business transactions in a flexible, secur

1. What is IT Security Governance? 2. 2. What (commonly) governance activities should gauge? 3. 3. Who is responsible for information security and why? 4. 4. List all steps of Nine

Question: (a) You should always ask your commercial printer what they consider as "camera ready" before you start the job. Describe Camera-ready Art? (b) Describe what is ha

Question 1: "There is only one social responsibility of business: to use its resources and engage in activities designed to increase its profits" (Milton Friedman, 1970) (a

Project Name : Portal -Engine Business Unit, Role : Team Management. Estimation and Plan. Involved in Requirement Gathering, System Architecture & Design. Presentation & Docum

Question 1: It is becoming clear that much of mental illnesses originate in some way from the individual's relations with groups and that groups may be used effectively in ment

Question 1 Write a note on certification scheme of Hallmarking of gold jewellery Question 2 Briefly explain Quality Control and Inspection Act, 1963 Question 3 Bri

Question 1: Discuss how the socialisation process leads to differential treatment of men and women in society. Question 2: ‘Education systems in modern industrial socie

Describe and analyze the primary internal and external influences on State Bank of India. This first task should take about one fourth of your overall report.

QUESTION 1 ‘The structure, objectives, sectoral coverage, and membership of Regional Integration Agreements (RIAs) can substantially influence their potential economic gains an