Reference no: EM133623635
Question
Graves Disease Patient Profile Ruth Delaware, a 47-year old woman, was admitted to the hospital with a high fever. After an endocrine workup, she received a diagnosis of Graves' disease. Subjective Data Reports recent job loss because of inability to cope with job stress Reports symptoms including fatigue, unintentional weight loss, insomnia, palpitations, and heat intolerance Objective Data Fever of 40 BP of 150/78; pulse 118; respiratory rate 24 Hot, moist skin Fine tremors of the hands Grade 4+ deep tendon reflexes and muscle strength of grade 1 to 2 Collaborative Care Subtotal thyroidectomy planned for 2 months after Started on propylthiouracil and propranolol
Discussion questions
1. What is the cause of Ms. Delaware's symptoms?
2. What diagnostic studies were probably ordered? What results have established the diagnosis of Graves' disease?
3. Why was surgery delayed?
4. What was the purpose of drug therapy for Ms. Delaware?
5. Priority decision: What are Ms. Delaware's priority learning needs? What teaching strategies would the nurse use if Ms. Delaware could not read?
6. What are the nursing interventions for successful long-term management of Ms. Delaware after the subtotal thyroidectomy?