The nurse is assessing a client with suspected thyroid storm. Which respiratory manifestation should the nurse anticipate in this client?
Bradypnea
Hyperventilation
Wheezing
Decreased respiratory rate
The Correct Answer is B
Hyperventilation, or rapid and deep breathing, is a respiratory manifestation commonly observed in clients with thyroid storm. The increased metabolic rate and elevated body temperature contribute to respiratory alkalosis and hyperventilation.
Incorrect choices:
a. Bradypnea, or slow breathing, is not a characteristic respiratory manifestation of thyroid storm.
c. Wheezing is not commonly associated with thyroid storm and is more indicative of respiratory conditions such as asthma.
d. Decreased respiratory rate is not a typical manifestation of thyroid storm, as clients often experience rapid breathing due to the hypermetabolic state.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Thyroid storm can suppress the immune system, making the client more susceptible to infections. Monitoring for signs of infection, such as fever, increased white blood cell count, and localized redness, helps prevent and promptly address complications.
Incorrect choices:
a. Administering supplemental iodine is not indicated in thyroid storm management and could worsen the condition.
c. While adequate nutrition is important, encouraging a high-calorie, high-protein diet is not a priority intervention in thyroid storm.
d. Administering intravenous potassium supplements is not a standard intervention for thyroid storm. Electrolyte imbalances may occur, but potassium replacement should be based on laboratory values.
Correct Answer is C
Explanation
Tremors, restlessness, and anxiety are early signs of thyroid storm. Thyroid storm is a life-threatening condition characterized by an excessive release of thyroid hormones, leading to hypermetabolic state.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not typically associated with thyroid storm. Tachycardia is more common due to increased sympathetic activity.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia. Increased metabolic rate leads to elevated body temperature.
d. This choice is incorrect. Decreased appetite is not a priority assessment finding in thyroid storm. More significant symptoms such as agitation and tachycardia take precedence.
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