A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?
Coma
Hypothermia
Tachycardia
Fruity smelling breath
The Correct Answer is C
A. Coma: Possible in severe cases but not universally anticipated.
B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.
C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.
D. Fruity smelling breath: Not typically associated with thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.2"]
Explanation
Dopamine infusion calculation:
- Client weight: 176 pounds
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 500 mg in 250 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
- Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
- Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
- Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
- mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr
Answers:
- mcg/min: 240 mcg/min
- mcg/hr: 14400 mcg/hr
- mL/hr: 7.2 mL/hr
Correct Answer is B
Explanation
A. Hypnosis: Not typically used for aggressive behavior disorders.
B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.
C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.
D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.
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