The nurse is caring for a client with thyroid storm. Which medication is administered to inhibit the release of thyroid hormones and manage thyroid storm?
Levothyroxine (Synthroid)
Methimazole (Tapazole)
Propylthiouracil (PTU)
Calcium gluconate
The Correct Answer is C
Propylthiouracil (PTU) is an antithyroid medication that blocks the synthesis of thyroid hormones and inhibits the conversion of thyroxine (T4) to triiodothyronine (T3). It is used to manage thyroid storm and decrease thyroid hormone levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Increasing intake of iodized salt can exacerbate hyperthyroidism and increase the risk of thyroid storm. Clients with hyperthyroidism are often advised to reduce iodine intake.
Incorrect choices:
a. This choice is correct. Continuing to take beta-blocker medication helps control heart rate and sympathetic nervous system effects, reducing the risk of thyroid storm.
b. This choice is correct. Exposure to extreme cold temperatures can trigger sympathetic nervous system activity and worsen hyperthyroidism or thyroid storm.
c. This choice is correct. Regular follow-up appointments with the healthcare provider are important to monitor thyroid function and adjust treatment as needed to prevent recurrence of thyroid storm.
Correct Answer is A
Explanation
A.Thyroid storm, also known as thyrotoxic crisis, is a severe and potentially life-threatening exacerbation of hyperthyroidism.
B.Hypoglycemia is low blood sugar and is not a direct trigger for thyroid storm. It may present with symptoms like confusion or irritability but does not relate to thyroid hormone levels.
C.Diabetes insipidus involves issues with water regulation in the body, primarily related to antidiuretic hormone (ADH) deficiency. It is not related to thyroid function and does not trigger thyroid storm.
D.Hyperglycemia refers to high blood sugar levels and is typically associated with diabetes management. While stress from illness can contribute to hyperglycemic episodes, it does not trigger thyroid storm.
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