The nurse is assessing a client with thyroid storm. Which finding would be consistent with the increased metabolic rate associated with this condition?
Hypotension
Bradycardia
Hypothermia
Hyperglycemia
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Monitoring intake and output is important to assess fluid balance and prevent dehydration or fluid overload, which can occur in thyroid storm.
Incorrect choices:
a. Administering diuretics is not typically indicated in thyroid storm management and may exacerbate fluid and electrolyte imbalances.
c. Restricting fluid intake is not appropriate in thyroid storm, as clients may require intravenous fluids to maintain hydration.
d. Encouraging high-sodium foods is not a priority intervention in thyroid storm and may exacerbate fluid and electrolyte imbalances.
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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