The nurse is caring for a client who is experiencing a thyroid storm. Which assessment finding would the nurse expect to observe?

Bradycardia

Hypothermia

Hypertension

Weight gain

Answer and Explanation

The Correct Answer is C

Thyroid storm is a life-threatening condition characterized by severe hyperthyroidism. Hypertension is a common manifestation of thyroid storm, along with tachycardia, fever, and other signs of sympathetic nervous system overactivity.

Incorrect choices:

a. This choice is incorrect. Bradycardia is not a typical finding in thyroid storm. Tachycardia is more common due to increased sympathetic activity.

b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.

d. This choice is incorrect. Weight loss, rather than weight gain, is a characteristic feature of hyperthyroidism, including thyroid storm.

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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.

A. Hypothalamus B. Pituitary gland C. Thyroid gland D. Parathyroid gland

Correct Answer is B

Explanation

In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.

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The nurse is caring for a client who is experiencing a thyroid storm. Which assessment finding would the nurse expect to observe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a client with thyroid storm. Which vital sign is crucial for the nurse to monitor frequently to assess the client's response to treatment?

Correct Answer is C

Explanation

The nurse is discussing the feedback loop that regulates thyroid hormone production with a client. Which component of the feedback loop is disrupted in thyroid storm?

Correct Answer is B

Explanation

The nurse is discussing the physiological effects of thyroid storm with a group of nursing students. Which manifestation is a direct result of the excessive thyroid hormone levels seen in thyroid storm?

The nurse is caring for a client with thyroid storm. Which intervention is important in maintaining a safe and quiet environment for the client?

The nurse is caring for a client with thyroid storm. Which medication is the most appropriate for the management of thyroid storm?

The nurse is educating a client about diagnostic evaluations for thyroid storm. Which diagnostic test involves administering a radioactive tracer and measuring its uptake by the thyroid gland?

The nurse is assessing a client suspected of experiencing thyroid storm. Which clinical manifestation is commonly associated with thyroid storm?

The nurse is providing discharge instructions to a client who experienced thyroid storm and has been stabilized. Which statement by the client indicates a need for further education?

The nurse is assessing a client with suspected thyroid storm. Which respiratory manifestation should the nurse anticipate in this client?

The nurse is discussing strategies to prevent thyroid storm with a client who recently underwent radioactive iodine therapy for hyperthyroidism. Which statement by the client indicates understanding of the teaching?