The nurse is assessing a client suspected of having thyroid storm. Which finding would be of immediate concern and require prompt intervention?

Diarrhea

Restlessness

Increased appetite

Muscle weakness

Answer and Explanation

The Correct Answer is B

Restlessness and agitation are signs of increased sympathetic nervous system activity and can indicate the severity of thyroid storm. Prompt intervention is required to prevent further deterioration.

Incorrect choices:

a. This choice is incorrect. Diarrhea can be a symptom of thyroid storm, but it is not an immediate concern that requires urgent intervention.

c. This choice is incorrect. Increased appetite is not a characteristic feature of thyroid storm. In fact, clients with thyroid storm often have decreased appetite due to the severity of their condition.

d. This choice is incorrect. Muscle weakness is a symptom of hyperthyroidism but is not an immediate concern that requires urgent intervention.

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Correct Answer is D

Explanation

Measuring thyroid hormone levels, specifically triiodothyronine (T3) and thyroxine (T4), is an essential diagnostic evaluation for thyroid storm. Elevated levels of these hormones indicate excessive thyroid hormone production and are indicative of thyroid storm.

A. "I will make sure to take my antithyroid medication as prescribed." B. "I will avoid stress and practice relaxation techniques." C. "I will skip my regular follow-up appointments if I'm feeling well." D. "I will notify my healthcare provider if I experience palpitations or rapid heartbeat."

Correct Answer is C

Explanation

Regular follow-up appointments are essential for monitoring thyroid function and adjusting medication doses if necessary. Skipping appointments even when feeling well can lead to inadequate management and potential risk of thyroid storm.

Incorrect choices:

a. This choice is correct. Taking antithyroid medication as prescribed helps to regulate thyroid hormone levels and prevent hyperthyroidism, reducing the risk of thyroid storm.

b. This choice is correct. Stress management and relaxation techniques can help prevent exacerbation of hyperthyroidism and decrease the risk of thyroid storm.

d. This choice is correct. Notifying the healthcare provider about palpitations or rapid heartbeat is important to address potential worsening of hyperthyroidism and prevent thyroid storm.

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The nurse is assessing a client suspected of having thyroid storm. Which finding would be of immediate concern and require prompt intervention?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client suspected of having thyroid storm. Which laboratory test is commonly used to assess thyroid function and diagnose thyroid storm?

Correct Answer is D

Explanation

The nurse is providing education to a client with a history of hyperthyroidism about preventing thyroid storm. Which statement by the client indicates a need for further education?

Correct Answer is C

Explanation

The nurse is discussing strategies to prevent thyroid storm with a client who recently underwent radioactive iodine therapy for hyperthyroidism. Which statement by the client indicates understanding of the teaching?

The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

The nurse is caring for a client with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?

The nurse is explaining the role of the sympathetic nervous system in thyroid storm. Which statement accurately describes the interaction between the sympathetic nervous system and thyroid hormone release in this condition?

The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?

The nurse is assessing a client suspected of experiencing thyroid storm. Which clinical manifestation is commonly associated with thyroid storm?

The nurse is providing discharge instructions to a client who experienced thyroid storm and has been stabilized. Which statement by the client indicates a need for further education?

The nurse is assessing a client with suspected thyroid storm. Which gastrointestinal manifestation is frequently observed in clients experiencing thyroid storm?