The nurse is administering medications to a client with thyroid storm. Which medication should the nurse administer to reduce heart rate and alleviate symptoms of hyperthyroidism?
Levothyroxine (Synthroid)
Methimazole (Tapazole)
Propranolol (Inderal)
Calcium gluconate
The Correct Answer is C
Propranolol is a beta-blocker that helps reduce heart rate and manage symptoms such as palpitations, tremors, and anxiety associated with thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Thyroid storm is characterized by an increased metabolic rate, leading to hyperglycemia. The increased metabolic demand and stress response can result in elevated blood glucose levels.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is associated with hypertension, not hypotension.
b. This choice is incorrect. Thyroid storm is associated with tachycardia, not bradycardia.
c. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
Correct Answer is B
Explanation
Methimazole is an antithyroid medication that inhibits the production of thyroid hormones and is commonly used in the management of thyroid storm to reduce thyroid hormone levels.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication and is contraindicated in the treatment of thyroid storm, as it would worsen the hyperthyroid state.
c. Propranolol (Inderal) is a beta-blocker that can help control symptoms such as tachycardia and hypertension in thyroid storm, but it does not address the underlying thyroid hormone excess.
d. Liothyronine (Cytomel) is a thyroid hormone replacement medication and is contraindicated in the treatment of thyroid storm, as it would worsen the hyperthyroid state.
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