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

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

First, determine how many milligrams are in 1 mL. We can do this by dividing the total milligrams by the total milliliters: 24 mg ÷ 2 mL = 12 mg/mL

Now we know that each milliliter of the solution contains 12 mg of sumatriptan.

To find the volume needed for a 6 mg dose, we need to figure out how many times 12 mg goes into 6 mg: 6 mg ÷ 12 mg/mL = 0.5 mL

A. Cleanse the injection site with an isopropyl alcohol wipe. B. Examine the IV solution for sediment and crystals. C. Mix the solution with fruit juice and provide the client with a straw. D. Obtain the client's vital signs prior to administration.

Correct Answer is C

Explanation

A. Saturated solution of potassium iodide (SSKI) is typically administered orally, not by injection. Therefore, cleansing an injection site is not relevant to this medication.
B. SSKI is not administered intravenously, so this step is unnecessary. Potassium iodide is given orally, so examining it for IV-related concerns such as crystals is not applicable.
C. SSKI has an unpleasant taste, so it is commonly mixed with fruit juice (or another liquid like water) to make it more palatable. Using a straw can help minimize the direct contact with the teeth and reduce the risk of irritation to the mouth and throat.
D. While monitoring vital signs is important for assessing the overall health status of the client, it is not routinely required specifically prior to administering SSKI, unless there are indications of a more serious issue or pre-existing conditions like thyroid dysfunction that may require more monitoring. This action would be more relevant for medications that directly affect hemodynamics or electrolyte balance, which is not a typical concern for SSKI.

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

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer prescribed sumatriptan (Imitrex) 6 mg per injection for a client reporting a severe migraine. The nurse has available sumatriptan (Imitrex) 24 mg in 2 ml. How many mL should the nurse administer with each dose? Do not round your answer. Enter numeric value only.

Correct Answer is ["0.5"]

Explanation

The nurse is preparing to administer prescribed saturated solution of potassium iodide (SSKI). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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