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 C

Explanation

Choice A reason: Prolonged bleeding is not a direct indicator of hyperkalemia. It is more commonly associated with coagulation disorders or conditions affecting blood clotting.

Choice B reason: Dry mucous membranes are more indicative of dehydration rather than hyperkalemia. Dehydration can result from a variety of conditions but is not specific to high potassium levels.

Choice C reason: Peaked T-waves on an electrocardiogram (ECG) are a classic sign of hyperkalemia. Elevated potassium levels affect the cardiac conduction system, leading to characteristic changes in the ECG, such as tall, peaked T-waves, widened QRS complexes, and flattened P-waves.

Choice D reason: Polyuria (excessive urination) is not typically associated with hyperkalemia. It is more commonly seen in conditions like diabetes mellitus or diabetes insipidus.

A. Administer an extra dose of albuterol before bedtime B. Use a dehumidifier while at home C. Increase the amount of fluids consumed each day D. Increase their daily exercise

Correct Answer is C

Explanation

Choice A reason: Administering an extra dose of albuterol before bedtime is not appropriate. The correct approach is to manage bronchial secretions through other means, such as hydration.

Choice B reason: Using a dehumidifier is not recommended for clients with respiratory issues. A humidifier, not a dehumidifier, helps keep the air moist and can help with secretions.

Choice C reason: Increasing the amount of fluids consumed helps to thin bronchial secretions, making them easier to cough up. Hydration is an effective method to manage secretions and improve respiratory function.

Choice D reason: Increasing daily exercise can be beneficial for overall health but is not the primary method to clear bronchial secretions. Hydration is more directly effective in this situation.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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