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 C
Explanation
Body temperature is a crucial indicator of thyroid storm severity and response to treatment. Monitoring body temperature helps assess the effectiveness of interventions in reducing hyperthermia.
Incorrect choices:
a. Blood pressure is important to monitor, but body temperature provides more direct information about the client's metabolic state.
b. Respiratory rate and oxygen saturation are important indicators of respiratory status but may not directly reflect thyroid storm severity.
d. Oxygen saturation is important for assessing respiratory status but may not directly reflect thyroid storm severity or treatment response.
Correct Answer is A
Explanation
Muscle weakness is a neuromuscular manifestation commonly observed in clients experiencing thyroid storm. It is attributed to the hypermetabolic state and increased breakdown of muscle tissue.
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