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 B

Explanation

Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.

Incorrect choices:

a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.

c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.

d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.

A. "I will avoid over-the-counter medications that contain pseudoephedrine." B. "I will wear lightweight clothing and use fans to stay cool in hot weather." C. "I will consume foods that are rich in iodine to support thyroid function." D. "I will report any signs of infection or illness to my healthcare provider."

Correct Answer is C

Explanation

Consuming foods rich in iodine can exacerbate hyperthyroidism and increase the risk of thyroid storm. Iodine is a component of thyroid hormones, and excess intake can worsen thyroid hormone production.

Incorrect choices:

a. This choice is correct. Over-the-counter medications containing pseudoephedrine can stimulate the sympathetic nervous system and exacerbate hyperthyroidism, leading to thyroid storm.

b. This choice is correct. Staying cool in hot weather helps prevent excessive heat stress on the body and minimizes sympathetic nervous system activity that can exacerbate hyperthyroidism.

d. This choice is correct. Reporting signs of infection or illness is important to ensure timely medical attention and prevent potential exacerbation of hyperthyroidism or 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 with thyroid storm. Which electrolyte imbalance is commonly associated with thyroid storm and requires monitoring and correction?

Correct Answer is B

Explanation

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?

Correct Answer is C

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?

The nurse is caring for a client diagnosed with thyroid storm. Which medication is commonly used to block the synthesis of thyroid hormones and manage thyroid storm?

The nurse is providing care for a client with thyroid storm. Which vital sign is crucial for the nurse to monitor frequently to assess the client's response to treatment?

The nurse is caring for a client diagnosed with thyroid storm. Which ocular manifestation should the nurse closely monitor for in this client?

The nurse is caring for a client with thyroid storm. Which intervention is essential to manage hyperthermia in this client?

The nurse is providing education to a client with a history of hyperthyroidism about the importance of managing stress. Which rationale should the nurse provide to the client?

The nurse is preparing a plan of care for a client with thyroid storm. Which nursing intervention would be the highest priority?

The nurse is assessing a client with suspected thyroid storm. Which finding would the nurse anticipate during the assessment?