The nurse is educating a client about medications used in the management of thyroid storm. Which medication should the nurse explain is used to temporarily reduce thyroid hormone release and manage severe hyperthyroidism?
Levothyroxine (Synthroid)
Methimazole (Tapazole)
Propranolol (Inderal)
Sodium polystyrene sulfonate (Kayexalate)
The Correct Answer is D
Sodium polystyrene sulfonate (Kayexalate) is used to bind excess thyroid hormones and temporarily reduce their release. It is part of the medical management of thyroid storm to manage severe hyperthyroidism.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication used to treat hypothyroidism and would exacerbate thyroid storm if given.
b. Methimazole (Tapazole) is an antithyroid medication that inhibits thyroid hormone synthesis and is used to manage thyroid storm, but it does not temporarily reduce thyroid hormone release.
c. Propranolol (Inderal) is a beta-blocker used to manage symptoms of hyperthyroidism but does not directly reduce thyroid hormone release.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Diarrhea, not constipation, is a common gastrointestinal symptom associated with thyroid storm. Increased metabolic rate in thyroid storm can lead to diarrhea.
Incorrect choices:
a. This choice is correct. Taking antithyroid medications as prescribed is important to control thyroid hormone levels and prevent thyroid storm.
b. This choice is correct. Avoiding stress and practicing relaxation techniques can help manage sympathetic overactivity and prevent exacerbation of thyroid storm.
c. This choice is correct. Monitoring heart rate and reporting irregularities is essential for early detection of worsening symptoms in thyroid storm.
Correct Answer is D
Explanation
Sodium polystyrene sulfonate (Kayexalate) is used to bind excess thyroid hormones and temporarily reduce their release. It is part of the medical management of thyroid storm to manage severe hyperthyroidism.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication used to treat hypothyroidism and would exacerbate thyroid storm if given.
b. Methimazole (Tapazole) is an antithyroid medication that inhibits thyroid hormone synthesis and is used to manage thyroid storm, but it does not temporarily reduce thyroid hormone release.
c. Propranolol (Inderal) is a beta-blocker used to manage symptoms of hyperthyroidism but does not directly reduce thyroid hormone release.
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