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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The statement "I can change who serves as my health care proxy at any time" is correct. A client can modify or revoke their health care proxy designation as long as they are mentally competent.
Choice B reason: The statement "The health care proxy does not go into effect until I am incapable of making decisions" is accurate. The health care proxy is activated when the client is unable to make their own medical decisions.
Choice C reason: The statement "I have to choose a family member as my health proxy" indicates a need for clarification. A client is not required to choose a family member as their health care proxy; they can select any trusted individual to act in this capacity.
Choice D reason: The statement "My health care proxy can make decisions on my behalf if I am unable to do so" is correct. The purpose of a health care proxy is to appoint someone to make medical decisions when the client is incapacitated.
Correct Answer is C
Explanation
Choice A reason: Administering an extra dose of albuterol at 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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