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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Adherence to medication therapy is crucial in managing thyroid storm. Medications are used to reduce thyroid hormone production and control symptoms. Stopping medications prematurely can lead to a recurrence of the condition.
Incorrect choices:
a. Stopping medications once symptoms improve is not recommended, as it can lead to a relapse of thyroid storm.
c. Medications should be taken as prescribed, regardless of symptom severity.
d. Skipping doses can disrupt the effectiveness of medication therapy and worsen the client's condition.
Correct Answer is A
Explanation
Stress is a known trigger for thyroid storm in individuals with a history of hyperthyroidism. Effective stress management can help reduce the risk of thyroid storm episodes.
Incorrect choices:
b. This choice is incorrect. Stress reduction is important to prevent exacerbation of hyperthyroidism and the risk of thyroid storm, not to increase thyroid hormone production.
c. This choice is incorrect. Stress management primarily aims to prevent thyroid storm and manage hyperthyroidism, not hypothyroidism.
d. This choice is incorrect. Stress reduction helps manage hyperthyroidism and prevent thyroid storm but does not necessarily "normalize" thyroid hormone levels.
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