NUR 634 Topic 14 DQ 1

Discussion: Select one Endocrine Condition or Disorder.

NUR 634 Topic 14 DQ 1 Assessment Description

Select one endocrine condition or disorder. Then complete the following:

Briefly discuss the condition/disorder.

Discuss physical exam techniques for evaluating the endocrine disorder.

Describe the symptoms and physical exam findings associated with the condition/disorder.

Identify appropriate laboratory, imaging, and other diagnostic/screening tools that apply to the disorder and explain how they will help you with your diagnosis.

Support your description with a minimum of two APRN-approved scholarly resources. You may not select a condition or disorder that has already been profiled by another learner; you must select a different one.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

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NUR 634 Topic 14 DQ 1 Sample

Hyperthyroidism is one of the most common endocrine conditions that affects females more often. The condition is characterized by excessive production and secretion of thyroid hormones. The causes of hyperthyroidism include Grave’s disease, thyroiditis, toxic multinodular goiter, and adenomas (Wiersinga et al., 2023). In addition, the unopposed release of thyroid stimulating hormone (TSH) from the pituitary causes hyperstimulation of the gland, resulting in excessive release of the hormone.

Examination of hyperthyroidism involves a neck examination, especially at the anterior neck. The examination evaluates for neck masses and nodules at the anterior neck triangle. An ophthalmologic exam for exophthalmos, lid lag and edema, exposure keratopathy, periorbital edema, diplopia, and hyperemia is also crucial(Lee et al., 2023). NUR 634 Topic 14 DQ 1 It is also crucial to perform limb examination for tremors and pretibial myxedema.

Thyroid hormones are crucial in the metabolism and functioning of different organ systems, including central nervous, respiratory, gastrointestinal, genitourinary, and cardiovascular systems. As a result, hyperthyroidism alters the body’s metabolism and functions of the mentioned systems (Chaker et al., 2024). Most patients with hyperthyroidism thus present with increased anxiety, heat intolerance, menstrual abnormalities, impotence, diarrhea, increased appetite, weight loss, palpitations, and hyperhidrosis. Common physical examination findings include exophthalmos, neck swelling, hypertension, tachypnea, and arrhythmias.

Thyroid function tests are the initial tests performed to evaluate thyroid diseases. NUR 634 Topic 14 DQ 1 They check for serum T3, T4, and TSH levels and can help differentiate between primary and secondary hyperthyroidism. Antibody tests for thyroid-stimulating immunoglobulin (TSI) levels are used in Grave’s disease diagnosis (Wiersinga et al., 2023). Additionally, scintigraphy with Iodine-123 or technetium-99m is for thyroid scanning to diagnose goiter. The most common imaging tests done are ultrasonography and neck magnetic resonance imaging (MRI) to evaluate the size of the gland. Pheochromocytoma and generalized anxiety disorder are the two conditions that may present similarly to hyperthyroidism. As a result, thyroid function tests are crucial in differentiating the two from hyperthyroidism.

NUR 634 Topic 14 DQ 1 References

Chaker, L., Cooper, D. S., Walsh, J. P., & Peeters, R. P. (2024). Hyperthyroidism. Lancet (London, England), 403(10428), 768–780. https://doi.org/10.1016/S0140-6736(23)02016-0

Lee, S. Y., & Pearce, E. N. (2023). Hyperthyroidism: A Review. JAMA, 330(15), 1472. https://doi.org/10.1001/jama.2023.19052

Wiersinga, W. M., Poppe, K. G., & Effraimidis, G. (2023). Hyperthyroidism: aetiology, pathogenesis, diagnosis, management, complications, and prognosis. The lancet. Diabetes & Endocrinology, 11(4), 282–298. https://doi.org/10.1016/S2213-8587(23)00005-0 NUR 634 Topic 14 DQ 1