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 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.
Correct Answer is B
Explanation
Thyroid storm can suppress the immune system, making the client more susceptible to infections. Monitoring for signs of infection, such as fever, increased white blood cell count, and localized redness, helps prevent and promptly address complications.
Incorrect choices:
a. Administering supplemental iodine is not indicated in thyroid storm management and could worsen the condition.
c. While adequate nutrition is important, encouraging a high-calorie, high-protein diet is not a priority intervention in thyroid storm.
d. Administering intravenous potassium supplements is not a standard intervention for thyroid storm. Electrolyte imbalances may occur, but potassium replacement should be based on laboratory values.
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