Case Study #2 Chapter 45 Thelma Coffee,
Case Study #2 Chapter 45 Thelma Coffee, 35-year-old, presents to her primary care provider reporting extreme fatigue. Upon further investigation, the nurse identifies that she also has had issues with: – Recent thinning hair – Dry skin – Voice changes – Menstrual changes – Cold all the time What is the nurse identifying the patient’s complaints as being symptoms of? Explain Male or female is like to suffer from this condition? At what age is this condition most often occurs? The primary care provider completes a physical assessment and orders laboratory diagnostics to further evaluate Ms. Coffee. Included in this screening are a serum thyroid stimulating hormone (TSH) level and s serum free T4 level. The thyroid stimulating hormone (TSH) controls the release of which thyroid hormone(s)? Explain The laboratory results ordered by Ms. Coffee’s physician are in. Laboratory diagnostics reveal a TSH level of 7.0 U/mL and a T4 level of 0.5 mg/dL. The nurse explains to Ms. Coffee that an increased thyroid stimulating hormone (TSH) level indicates? Explain (Fill in the blank) ________________________________ serum free T4 level indicates _______________________________________ The primary care provider orders new medications for Ms. Coffee: Levothyroxine 25 mg PO daily. – This medication is treating what condition? – Why is Levothyroxine an effective treatment? Explain What should the nurse educate Ms. Coffee to monitor while taking levothyroxine? How should you, the RN, educate Ms. Coffee to take Levothyroxine? (RN consideration)
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