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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL (74 - 106 mg/dL) B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr. C. A client who has Graves' disease has a heart rate of 100/min and reports tremors. D. A client who has a left-sided stroke reports severe headache and is manifesting confusion.

Correct Answer is D

Explanation

A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL: This glucose level is within normal range for many diabetes management plans.

B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr: This client may require monitoring but does not indicate an acute crisis.

C. A client who has Graves' disease has a heart rate of 100/min and reports tremors: These symptoms are concerning but do not suggest an immediate life-threatening situation.

D. A client who has a left-sided stroke reports severe headache and is manifesting confusion. These symptoms may indicate worsening conditions such as hemorrhage or increased intracranial pressure. Severe headache and confusion in a stroke patient could indicate a new complication such as hemorrhage or worsening neurological status, requiring urgent assessment and intervention.

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A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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