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 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
Hypertension is a common cardiovascular manifestation of thyroid storm. The excessive release of thyroid hormones leads to increased cardiac output, resulting in elevated blood pressure.
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