The nurse is caring for a client diagnosed with thyroid storm. Which medication is commonly used to block the synthesis of thyroid hormones and manage thyroid storm?
Levothyroxine (Synthroid)
Methimazole (Tapazole)
Propranolol (Inderal)
Calcium gluconate
The Correct Answer is B
Methimazole is an antithyroid medication that inhibits the synthesis of thyroid hormones by blocking the enzyme thyroid peroxidase. It is often used as part of the medical management of thyroid storm to decrease excessive thyroid hormone production.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Increasing intake of iodized salt can exacerbate hyperthyroidism and increase the risk of thyroid storm. Clients with hyperthyroidism are often advised to reduce iodine intake.
Incorrect choices:
a. This choice is correct. Continuing to take beta-blocker medication helps control heart rate and sympathetic nervous system effects, reducing the risk of thyroid storm.
b. This choice is correct. Exposure to extreme cold temperatures can trigger sympathetic nervous system activity and worsen hyperthyroidism or thyroid storm.
c. This choice is correct. Regular follow-up appointments with the healthcare provider are important to monitor thyroid function and adjust treatment as needed to prevent recurrence of thyroid storm.
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.
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