The nurse is discussing the physiological effects of thyroid storm with a group of nursing students. Which manifestation is a direct result of the excessive thyroid hormone levels seen in thyroid storm?
Bradycardia
Hypothermia
Hypotension
Hypermetabolism
The Correct Answer is D
Excessive thyroid hormone levels in thyroid storm lead to hypermetabolism, which results in increased oxygen consumption, heat production, and energy expenditure. This hypermetabolic state is associated with symptoms such as tachycardia, hypertension, fever, and profuse sweating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is C
Explanation
Consuming foods rich in iodine can exacerbate hyperthyroidism and increase the risk of thyroid storm. Iodine is a component of thyroid hormones, and excess intake can worsen thyroid hormone production.
Incorrect choices:
a. This choice is correct. Over-the-counter medications containing pseudoephedrine can stimulate the sympathetic nervous system and exacerbate hyperthyroidism, leading to thyroid storm.
b. This choice is correct. Staying cool in hot weather helps prevent excessive heat stress on the body and minimizes sympathetic nervous system activity that can exacerbate hyperthyroidism.
d. This choice is correct. Reporting signs of infection or illness is important to ensure timely medical attention and prevent potential exacerbation of hyperthyroidism or thyroid storm.
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