A nurse is assessing a client who is 12 hours postoperative following a thyroidectomy. Which of the following findings is indicative of thyrotoxic crisis?
Bradycardia
Hypotension
Hyperthermia
Constipation
The Correct Answer is C
A. Bradycardia, or a slow heart rate, is not typically associated with thyrotoxic crisis. In fact, thyrotoxic crisis usually causes tachycardia (rapid heart rate) due to the body's heightened metabolism and sympathetic nervous system stimulation.
B. Hypotension, or low blood pressure, is not characteristic of a thyrotoxic crisis. The condition typically causes hypertension (elevated blood pressure) as part of the body's stress response and increased metabolic rate.
C. Hyperthermia, or elevated body temperature, is a key sign of thyrotoxic crisis. The condition leads to a hypermetabolic state that can significantly increase body temperature. This high fever is a result of the body's excessive heat production due to the overstimulation of metabolic processes.
D. Constipation is not typically associated with thyrotoxic crisis. In hyperthyroidism, and consequently in thyrotoxic crisis, patients usually experience diarrhea or increased bowel movements due to the increased metabolic rate and gastrointestinal motility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B. This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C. The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D. This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.
Correct Answer is B
Explanation
A. A pneumothorax, or collapsed lung, occurs when air enters the pleural space, leading to lung collapse. While a pneumothorax can be a serious issue, it is not a typical finding associated with advanced COPD.
B. Hyperinflation is a hallmark finding of advanced COPD. It occurs when air becomes trapped in the lungs due to obstructed airways and damaged alveoli, leading to increased lung volumes and overexpansion of the lungs. On a chest X-ray, hyperinflation appears as an increased retrosternal air space, flattened diaphragm, and possibly increased lung volumes.
C. The presence of masses on a chest X-ray might suggest malignancies or other lung pathologies, but it is not a typical finding in COPD. While lung cancer can co-occur with COPD, masses themselves are not a direct indicator of COPD but rather a potential separate issue that would need further evaluation.
D. Atelectasis refers to the collapse of lung tissue due to loss of air in the alveoli, which can occur from various causes including obstruction or compression of the lung. While atelectasis can be seen in various pulmonary conditions, it is not specific to advanced COPD.
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