Adlent has been diagnosed with hyperthyroidism. Which signs and symptoms may indicate thyroid storm, a complication of this disorder?
Hypotension, chills, thirst
Lethargy, confusion, bradycardia
Bradycardia, hypotension, low urine output
Fever, tachycardia, tremors
The Correct Answer is D
Choice A reason: Hypotension, chills, and thirst are not characteristic signs and symptoms of a thyroid storm. Hypotension generally indicates low blood pressure, while chills and thirst are less specific symptoms that do not particularly point to thyroid storm.
Choice B reason: Lethargy, confusion, and bradycardia are not typical indicators of a thyroid storm. These symptoms might be present in other conditions but are not generally associated with the severe hypermetabolic state seen in thyroid storms.
Choice C reason: Bradycardia, hypotension, and low urine output are also not typical signs of a thyroid storm. Bradycardia (slow heart rate) and hypotension (low blood pressure) are more likely associated with severe hypothyroidism or other conditions, not the hyperactive state of a thyroid storm.
Choice D reason: Fever, tachycardia, and tremors are classic signs of a thyroid storm. A thyroid storm is a life-threatening condition characterized by an excessive amount of thyroid hormones, leading to hypermetabolic activity. This results in symptoms like a high fever, rapid heart rate (tachycardia), and tremors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Increased blood pressure is a common physiological response to pain. When a person experiences pain, the body's sympathetic nervous system is activated, causing an increase in heart rate and blood pressure. This response is part of the body's fight-or-flight mechanism, intended to help cope with the stressful situation.
Choice B reason: Increased respiratory rate is another sign of unrelieved pain. Pain can lead to rapid, shallow breathing as the body reacts to the discomfort. This response can help deliver more oxygen to tissues during times of stress but can also contribute to feelings of anxiety and fatigue if it continues over a prolonged period.
Choice C reason: Increased heart rate is a typical response to pain. Just like increased blood pressure, the heart rate rises as part of the body's sympathetic response to pain, which prepares the body to either confront or escape the source of pain. Monitoring heart rate can therefore provide critical information about the patient's pain levels and overall physiological state.
Correct Answer is D
Explanation
Choice A reason: A nursing assistant is not typically qualified to verify and administer blood products. Their role primarily involves providing basic patient care under the supervision of licensed nurses.
Choice B reason: A physician's assistant (PA) is a licensed medical professional who can perform many tasks, but verifying and administering blood products is generally within the nursing scope of practice. The PA may assist but is not the primary person for this task.
Choice C reason: The unit secretary handles administrative tasks and coordination but is not involved in clinical tasks such as verifying and administering blood products.
Choice D reason: Another registered nurse (RN) is the appropriate team member to assist in checking a unit of packed red blood cells before administration. RNs are trained and qualified to perform this task, ensuring that the right blood type and unit are administered to the patient safely.
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