The nurse is assessing a client with suspected thyroid storm. Which finding would the nurse anticipate during the assessment?
Bradycardia
Hypothermia
Low blood pressure
Exophthalmos
The Correct Answer is D
Exophthalmos (protruding eyeballs) is a characteristic finding in thyroid storm due to increased sympathetic activity and inflammation of the orbital tissues.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is characterized by tachycardia, not bradycardia.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
c. This choice is incorrect. Low blood pressure is not a typical finding in thyroid storm. Hypertension and tachycardia are more common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Providing supplemental oxygen therapy is a priority intervention to ensure adequate oxygenation and support vital organ function in a client with thyroid storm. This condition can cause increased metabolic demand and potential respiratory distress.
Correct Answer is D
Explanation
Sodium polystyrene sulfonate (Kayexalate) is used to bind excess thyroid hormones and temporarily reduce their release. It is part of the medical management of thyroid storm to manage severe hyperthyroidism.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication used to treat hypothyroidism and would exacerbate thyroid storm if given.
b. Methimazole (Tapazole) is an antithyroid medication that inhibits thyroid hormone synthesis and is used to manage thyroid storm, but it does not temporarily reduce thyroid hormone release.
c. Propranolol (Inderal) is a beta-blocker used to manage symptoms of hyperthyroidism but does not directly reduce thyroid hormone release.
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