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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Methimazole is an antithyroid medication that inhibits the production of thyroid hormones and is commonly used in the management of thyroid storm to reduce thyroid hormone levels.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication and is contraindicated in the treatment of thyroid storm, as it would worsen the hyperthyroid state.
c. Propranolol (Inderal) is a beta-blocker that can help control symptoms such as tachycardia and hypertension in thyroid storm, but it does not address the underlying thyroid hormone excess.
d. Liothyronine (Cytomel) is a thyroid hormone replacement medication and is contraindicated in the treatment of thyroid storm, as it would worsen the hyperthyroid state.
Correct Answer is C
Explanation
Propranolol is a beta-blocker that helps manage the cardiovascular symptoms of thyroid storm, such as tachycardia and hypertension. It is often administered as a priority to stabilize the client's condition.
Incorrect choices:
a. This choice is incorrect. Levothyroxine is a thyroid hormone replacement medication and would not be administered as a priority in the acute management of thyroid storm.
b. This choice is incorrect. Methimazole is an antithyroid medication used to block thyroid hormone production. It is important for long-term management but may not be administered as a priority during a thyroid storm crisis.
d. This choice is incorrect. Calcium gluconate may be administered to address the potential risk of hypocalcemia associated with thyroid storm, but it is not typically administered as a first-line priority medication.
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