The nurse is caring for a client with thyroid storm. Which laboratory finding would the nurse anticipate in this condition?

Elevated TSH (thyroid-stimulating hormone) levels

Elevated T3 (triiodothyronine) and T4 (thyroxine) levels

Low T3 (triiodothyronine) and T4 (thyroxine) levels

Normal TSH (thyroid-stimulating hormone) levels

Answer and Explanation

The Correct Answer is B

Thyroid storm is characterized by significantly elevated levels of T3 and T4, the thyroid hormones.

Incorrect choices:

a. This choice is incorrect. Elevated TSH levels are not expected in thyroid storm. TSH would be suppressed due to high thyroid hormone levels.

c. This choice is incorrect. Low T3 and T4 levels are not indicative of thyroid storm. Thyroid storm is associated with excess thyroid hormone release.

d. This choice is incorrect. Normal TSH levels would not be seen in thyroid storm, as TSH would be suppressed due to elevated thyroid hormone levels.

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Correct Answer is B

Explanation

Monitoring intake and output is important to assess fluid balance and prevent dehydration or fluid overload, which can occur in thyroid storm.

Incorrect choices:

a. Administering diuretics is not typically indicated in thyroid storm management and may exacerbate fluid and electrolyte imbalances.

c. Restricting fluid intake is not appropriate in thyroid storm, as clients may require intravenous fluids to maintain hydration.

d. Encouraging high-sodium foods is not a priority intervention in thyroid storm and may exacerbate fluid and electrolyte imbalances.

A. Keep the room warm to prevent shivering. B. Monitor for signs of hypoglycemia. C. Encourage the client to perform strenuous physical activity. D. Administer sedatives to promote rest and relaxation.

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.

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The nurse is caring for a client with thyroid storm. Which laboratory finding would the nurse anticipate in this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?

Correct Answer is B

Explanation

The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?

Correct Answer is B

Explanation

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