NCLEX Examination. Practice Question # 872. Cholecystitis Description Inflammation of the gallbladder that may occur as an acute or chronic process Acute inflammation is associated with gallstones (cholelithiasis). Chronic cholecystitis results when inefficient bile emptying and gallbladder muscle wall disease cause a fibrotic and contracted gallbladder. Acalculous cholecystitis occurs in the absence of…
NCLEX Examination. Practice Question # 871. Acute pancreatitis Assessment Findings: Abdominal pain, including a sudden onset at a midepigastric or left upper quadrant location with radiation to the back Pain aggravated by a fatty meal, alcohol, or lying in a recumbent position Abdominal tenderness and guarding Nausea and vomiting Weight loss…
NCLEX Examination. Practice Question # 870. USES Levothyroxine is used in Treatment of hypothyroidism, pituitary thyroid-stimulating hormone (TSH) suppression. IV, Myxedema coma. OFFLABEL Management of hemodynamically unstable potential organ donors. PRECAUTIONS Contraindications: Acute MI, thyrotoxicosis of any etiology, uncorrected adrenal insufficiency. Capsule: Inability to swallow capsules. Cautions: Elderly, angina pectoris, hypertension, other cardiovascular…
NCLEX Examination. Practice Question # 869. Hyperthyroidism: Description Hyperthyroid state resulting from hypersecretion of thyroid hormones (T3 and T4) Characterized by an increased rate of body metabolism A common cause is Graves’ disease, also known as toxic diffuse goiter. Clinical manifestations are referred to as thyrotoxicosis. The T3 and T4 are usually elevated…
NCLEX Examination. Practice Question # 868. Thyroidectomy Description Removal of the thyroid gland Performed when persistent hyperthyroidism exists Subtotal thyroidectomy, removal of a portion of the thyroid gland, is the preferred surgical intervention. Preoperative interventions Obtain vital signs and weight. Assess electrolyte levels. Assess for hyperglycemia. Instruct the client in how to perform…
