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.
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Related Questions
Correct Answer is D
Explanation
After radioactive iodine therapy, it may take several weeks for thyroid hormone levels to normalize. Continuing antithyroid medication during this period helps prevent exacerbation of hyperthyroidism and potential thyroid storm.
Incorrect choices:
a. This choice is incorrect. While avoiding excessive iodine intake is important, avoiding all foods high in iodine is unnecessary and could lead to nutritional deficiencies.
b. This choice is incorrect. Strenuous physical activity can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderation in physical activity is recommended.
c. This choice is incorrect. Stopping antithyroid medication after radioactive iodine therapy is not recommended, as thyroid hormone levels may not immediately normalize.
Correct Answer is C
Explanation
Thyroid storm is a life-threatening condition characterized by a sudden and severe increase in thyroid hormone levels in the bloodstream. This occurs due to the uncontrolled release of thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3), from the thyroid gland.
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