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
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.
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
Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.
Incorrect choices:
a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.
c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.
d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.
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