The nurse is caring for a client with thyroid storm. Which electrolyte imbalance is commonly associated with thyroid storm and requires monitoring and correction?
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypocalcemia
The Correct Answer is B
Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.
Incorrect choices:
a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.
c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.
d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.
Incorrect choices:
a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.
c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.
d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.
Correct Answer is D
Explanation
Measuring thyroid hormone levels, specifically triiodothyronine (T3) and thyroxine (T4), is an essential diagnostic evaluation for thyroid storm. Elevated levels of these hormones indicate excessive thyroid hormone production and are indicative of thyroid storm.
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