The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?
Prednisolone
Aspirin
Diazepam
Metoprolol
The Correct Answer is B
Choice A reason: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.
Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.
Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.
Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Donepezil treats Alzheimer’s by inhibiting cholinesterase, boosting acetylcholine for cognition. Lupus, an autoimmune disease, doesn’t involve dementia primarily, so this drug lacks relevance to its management.
Choice B reason: Prednisone, a corticosteroid, suppresses inflammation and immune response in lupus, reducing joint pain and organ damage from autoantibody activity, making it a standard treatment.
Choice C reason: Hydroxychloroquine modulates immunity and reduces lupus flares by stabilizing lysosomes and decreasing autoantibody production, directly addressing its autoimmune pathology.
Choice D reason: Methotrexate, an immunosuppressant, inhibits folate metabolism, curbing immune cell proliferation in lupus, effectively managing severe symptoms like arthritis or organ involvement.
Correct Answer is D
Explanation
Choice A reason: Increasing oxygen to 3 L/min may help but risks CO2 retention in COPD without assessing respiratory rate, depth, and saturation first, making it premature.
Choice B reason: Coughing clears secretions, but without assessing respiratory status, it’s unclear if secretions are the issue or if the client can effectively cough, so it’s not priority.
Choice C reason: Calling emergency services assumes severity without data like oxygen saturation or distress level, delaying care by skipping initial assessment in this stable setting.
Choice D reason: Assessing respiratory status (rate, oxygen saturation, lung sounds) identifies the cause of difficulty, guiding interventions like oxygen adjustment or escalation, per ABC priority.
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