The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?

Polyuria, nausea, headaches

Polydipsia, translucent skin, obesity

Profuse sweating, flushing, constipation

High fever, severe tachycardia, and hypertension

Answer and Explanation

The Correct Answer is D

Choice A reason: Polyuria, nausea, and headaches are not specific clinical manifestations of thyroid storm. Thyroid storm is characterized by extreme hyperthyroidism, leading to severe symptoms such as high fever and tachycardia. Polyuria and nausea could occur in various conditions but are not hallmark signs of a thyroid storm.

Choice B reason: Polydipsia, translucent skin, and obesity are not typical manifestations of thyroid storm. These symptoms are more associated with other conditions, such as diabetes (polydipsia) and metabolic disorders (obesity). Thyroid storm involves acute and severe symptoms related to excessive thyroid hormone levels.

Choice C reason: Profuse sweating and flushing can occur in thyroid storm, but constipation is not typically observed. In fact, hyperthyroidism generally increases gastrointestinal motility, leading to diarrhea rather than constipation. Thyroid storm involves symptoms reflecting severe metabolic overactivity.

Choice D reason: High fever, severe tachycardia, and hypertension are classic clinical manifestations of thyroid storm. The condition involves a rapid and life-threatening escalation of hyperthyroid symptoms, requiring immediate medical attention to prevent complications.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Beta blockers are medications that can slow the heart rate, leading to sinus bradycardia. They are often prescribed for managing hypertension, arrhythmias, and other cardiovascular conditions. They work by blocking the effects of adrenaline on the heart, which reduces heart rate and blood pressure.

Choice B reason: Fever typically causes an increase in heart rate (tachycardia) rather than a decrease. The body's metabolic rate increases to fight infection, resulting in a higher heart rate.

Choice C reason: Athletism can result in sinus bradycardia because athletes often have a lower resting heart rate due to the increased efficiency of their cardiovascular system. Their hearts pump more effectively, requiring fewer beats per minute to circulate blood throughout the body.

Choice D reason: Sleeping naturally leads to a slower heart rate due to the relaxation of the body and reduced metabolic demands during rest. Sinus bradycardia during sleep is generally considered normal and not a cause for concern.

A. Cullen's sign B. Bradykinesia C. Pill rolling D. Unilateral tremors E. Swan neck deformity

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

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The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

There are several factors that may cause a patient to present with sinus bradycardia. What are some causes of sinus bradycardia? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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