A patient newly diagnosed with hyperthyroidism has a fever of 101.3°F. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.

Periorbital edema

Recent tooth extraction

Hypoventilation

Diarrhea last 4 days

Heart rate 140 bpm

Answer and Explanation

Correct Answer : B,D,E

A. Periorbital edema: Periorbital edema is more commonly associated with hypothyroidism or thyroid eye disease (Graves’ orbitopathy), not thyroid storm. It does not typically present as an acute sign of thyroid storm.

B. Recent tooth extraction: Recent invasive procedures such as tooth extraction can act as a precipitating stressor for thyroid storm by triggering an acute release of thyroid hormones. Identifying such triggers is important for prompt intervention.

C. Hypoventilation: Thyroid storm typically causes increased metabolism leading to tachypnea (rapid breathing), not hypoventilation. Respiratory rate is generally elevated to meet increased oxygen demands.

D. Diarrhea last 4 days: Gastrointestinal symptoms like diarrhea are common in thyroid storm due to increased gastrointestinal motility from excess thyroid hormone. Persistent diarrhea reflects systemic hypermetabolism.

E. Heart rate 140 bpm: A significantly elevated heart rate (tachycardia) is a hallmark feature of thyroid storm and reflects excessive thyroid hormone stimulation on the cardiovascular system, increasing risk for cardiac complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Brudzinski's sign: Brudzinski’s sign is assessed by flexing the client’s neck and observing for involuntary hip and knee flexion, which indicates meningeal irritation in meningitis. It is not associated with hypocalcemia or thyroid surgery complications.

B. Kernig's sign: Kernig’s sign is present when there is resistance or pain during extension of the leg while the hip is flexed, also indicating meningeal irritation. Like Brudzinski’s sign, it is unrelated to tingling or numbness in extremities or lips.

C. Chvostek's sign: Chvostek’s sign is a clinical indicator of hypocalcemia and is elicited by tapping the facial nerve, leading to twitching of the facial muscles. Tingling in the hands, feet, and around the mouth is also a classic early symptom of hypocalcemia, which is a common complication after thyroid surgery due to potential parathyroid gland injury.

D. Babinski's sign: Babinski’s sign refers to dorsiflexion of the big toe with fanning of the other toes upon stimulation of the sole. It suggests a neurological issue such as upper motor neuron damage and is not related to calcium imbalances or postoperative thyroid care.

A. BMI less than 25 B. Diuretic use C. Hypocalcemia D. Family history

Correct Answer is D

Explanation

A. BMI less than 25: A lower BMI (under 25) is generally not considered a risk factor for urolithiasis. In fact, higher BMI and obesity are associated with increased risk due to changes in urinary composition that promote stone formation.

B. Diuretic use: Certain diuretics, such as thiazides, can actually reduce the risk of kidney stones by decreasing urinary calcium excretion. Not all diuretics increase stone risk, so this is not a common associated risk factor.

C. Hypocalcemia: Low calcium levels are not typically linked to kidney stone formation. Hypercalcemia or hypercalciuria, where excess calcium is excreted in urine, is a known risk factor for calcium-based stones, unlike hypocalcemia.

D. Family history: A family history of kidney stones significantly increases a person’s risk of developing urolithiasis. Genetic predisposition affects stone formation through inherited metabolic abnormalities or structural differences in the urinary tract.

View Question and Answer

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

A patient newly diagnosed with hyperthyroidism has a fever of 101.3°F. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

Correct Answer is C

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is D

Explanation

The nurse is caring for a patient with diabetes. Exhibits For each assessment finding, click to specify if the finding indicates that the client's condition has improved, has not changed, or has declined. Only choose one option for each assessment finding. Each option will be used at least once.

Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN? Select the "2" findings that require immediate follow-up.

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Complete the following sentence by choosing from the list of options. Exhibits The nurse should first address the patient's dropdown followed by the client's dropdown.

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

The nurse is caring for a patient with diabetes. Exhibits Exhibits Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.

Which nursing interventions should the RN implement when providing care for a patient with ascites related to Cirrhosis of the liver? Select all that apply.

The nurse is caring for a patient with diabetes. Exhibits The nurse is preparing to speak with the provider regarding the client's condition. Which of the following orders should the nurse anticipate? Select all that apply.