The nurse is caring for a client diagnosed with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?
Administering a high dose of iodine solution
Providing supplemental oxygen therapy
Encouraging the client to eat a high-calorie diet
Administering intravenous insulin
The Correct Answer is B
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.
Nursing Test Bank
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 B
Explanation
Restlessness and agitation are signs of increased sympathetic nervous system activity and can indicate the severity of thyroid storm. Prompt intervention is required to prevent further deterioration.
Incorrect choices:
a. This choice is incorrect. Diarrhea can be a symptom of thyroid storm, but it is not an immediate concern that requires urgent intervention.
c. This choice is incorrect. Increased appetite is not a characteristic feature of thyroid storm. In fact, clients with thyroid storm often have decreased appetite due to the severity of their condition.
d. This choice is incorrect. Muscle weakness is a symptom of hyperthyroidism but is not an immediate concern that requires urgent intervention.
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