The health care team is caring for a client in thyroid storm. Which of the following prescriptions should the nurse question?

Methimazole (Tapazole) 15 mg, PO, now and every 4 hours

Apply humidified oxygen as needed.

Aspirin (ASA) 1,000 mg PO now.

Apply hypothermia mattress now.

Answer and Explanation

The Correct Answer is C

A. Methimazole (Tapazole) 15 mg, PO, now and every 4 hours is an appropriate treatment for thyroid storm. Methimazole is an antithyroid medication that inhibits the synthesis of thyroid hormones and helps control the symptoms of thyroid storm.
B. Applying humidified oxygen as needed is appropriate because clients in thyroid storm can develop respiratory distress due to high metabolic demands. Providing humidified oxygen can help maintain adequate oxygenation.
C. Aspirin is contraindicated in thyroid storm. It can increase the release of thyroid hormones from the thyroid gland and may also increase the risk of severe complications like bleeding. Furthermore, aspirin can interfere with the binding of thyroid hormones to proteins, exacerbating the condition. Instead, acetaminophen (Tylenol) should be used to reduce fever in thyroid storm.
D. This is an appropriate intervention to manage hyperthermia, which is a common symptom of thyroid storm. A hypothermia mattress can help reduce the client's elevated body temperature in a controlled manner

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 A

Explanation

A. Look directly at the person you are talking to helps enhance communication by using facial expressions and visual cues, which can compensate for the soft, monotone, or slurred speech often seen in clients with Parkinson’s disease.
B. Stopping to take a breath after each word would make speech more fragmented and harder to follow. It is not a recommended strategy.
C. A hearing aid would help the listener if they had hearing loss, but it does not assist the client with Parkinson’s who is having difficulty speaking, not hearing.
D. Speaking louder may help, but speaking faster is counterproductive. Clients with Parkinson’s often benefit from slower, more deliberate speech and may work with a speech therapist to use strategies like the Lee Silverman Voice Treatment (LSVT), which focuses on increasing vocal loudness—not speed.

A. Assess the client for the need for compressions. B. Perform a sternal rub to arouse the client. C. Provide 15 g of a fast-acting carbohydrate. D. Administer a prescribed injectable glucagon.

Correct Answer is D

Explanation

A. This action is not appropriate unless the client is in cardiac arrest. The client is unconscious but not necessarily in need of compressions based on the symptoms described.
B. While the sternal rub can be used to assess for a response, it is not the best intervention in this situation. If the client is unconscious and showing signs of hypoglycemia, immediate treatment should focus on addressing the cause (low blood sugar) rather than trying to arouse the client.
C. While providing a fast-acting carbohydrate is appropriate for mild hypoglycemia, the client has lost consciousness, which indicates a more severe level of hypoglycemia. In this case, injectable glucagon is the preferred intervention to raise the client's blood sugar quickly.
D. The client’s symptoms (headache, nausea, diaphoresis, loss of consciousness) suggest hypoglycemia. When a client loses consciousness, injectable glucagon should be administered to rapidly raise blood sugar levels. If the client is conscious later, oral carbohydrates can be given, but in this case, injectable glucagon is the immediate priority.

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

The health care team is caring for a client in thyroid storm. Which of the following prescriptions should the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with Parkinson's disease who has difficulty speaking. Which of the following instructions should the nurse provide to the client.

Correct Answer is A

Explanation

The nurse is caring for a client who has diabetes mellitus and reports having a headache, nausea, is diaphoretic and then loses consciousness. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse is teaching a client with diabetes mellitus, type 2 who recently had an insulin pump placed. Which of the following information should the nurse include in the teaching?

The nurse is teaching a client with epilepsy who has a new prescription for phenytoin (Dilantin). Which of the following instructions should the nurse include in the teaching?

The nurse caring for a client with diabetes, type 2 who has a blood sugar level of 289 mg/dL noted an increase in urine output. Which of the following findings should the nurse expect?

The nurse is caring for a client with Graves' disease. The nurse understands that which of the following statements is true regarding this disorder?

The nurse is assessing a client with hyperthyroidism. Which of the following findings should the nurse expect? Select all that apply.

The health care team is caring for a client in thyroid storm. Which of the following prescriptions should the nurse question?

The nurse is teaching a client with hypothyroidism the importance of increasing fluids. The nurse should explain that increasing fluids is important to prevent which of the following problems?

The nurse is caring for a client with diabetes mellitus, type 1 who asked for the meaning of glycemic index. Which of the following responses by the nurse would be correct?