The nurse is discussing strategies to prevent thyroid storm with a client who recently underwent radioactive iodine therapy for hyperthyroidism. Which statement by the client indicates understanding of the teaching?
"I will avoid foods that are high in iodine, like seafood."
"I will engage in strenuous physical activity to boost my metabolism."
"I will stop taking my antithyroid medication since I received radioactive iodine."
"I will continue to take my antithyroid medication as prescribed."
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Applying cold packs to the client's skin helps lower body temperature and manage hyperthermia associated with thyroid storm.
Incorrect choices:
a. Administering acetaminophen (Tylenol) alone may not effectively manage hyperthermia in thyroid storm. Cooling measures, such as cold packs, are more appropriate.
c. Administering antihistamines is not a standard intervention for managing hyperthermia in thyroid storm.
d. Encouraging warm baths is contraindicated in thyroid storm, as it can exacerbate hyperthermia. Cold measures are preferred.
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