A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?
Provide a cooling blanket.
Monitor the client's cardiac rhythm.
Administer 0.9% sodium chloride IV.
Obtain the client's blood glucose.
The Correct Answer is B
A. While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.
B. Thyroid storm can precipitate severe cardiac complications, making continuous monitoring of the client's cardiac rhythm imperative to detect any abnormalities promptly.
C. Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.
D. While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: While social workers can assist with many aspects of care, they may not always be able to provide legal representation or assistance.
B: While legal representation can be helpful, advance directives can be valid and legally binding documents even without it.
C: Verbal agreements are generally not sufficient for advance directives; written documentation is typically required.
D: While medical care can be initiated regardless of advance directives, it's important to inform the client that they can create directives without immediate legal assistance.
Correct Answer is A
Explanation
A. Phenytoin should be taken with food to minimize gastrointestinal side effects and enhance absorption.
B. There is no specific requirement to limit foods containing vitamin D while taking phenytoin.
C. Phenytoin does not typically interfere with folic acid metabolism, so there is no need to limit foods containing folic acid.
D. Phenytoin should not be taken with antacids, as they can decrease its absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.