The nurse is caring for a client with thyroid storm. Which intervention is important in maintaining a safe and quiet environment for the client?
Administering sedatives as ordered.
Providing a dark and dimly lit room.
Encouraging social interaction with other clients.
Minimizing external stimuli and noise.
The Correct Answer is D
Minimizing external stimuli and noise helps reduce stress and anxiety for the client with thyroid storm and promotes a calm and safe environment.
Incorrect choices:
a. Administering sedatives may be necessary, but it is not the primary intervention to maintain a safe environment.
b. Providing a dark and dimly lit room is not necessary and may contribute to feelings of isolation.
c. Encouraging social interaction may not be appropriate for a client experiencing symptoms of thyroid storm, as rest and reduced stimuli are important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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