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 B
Explanation
Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.
Incorrect choices:
a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.
c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.
d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.
Correct Answer is B
Explanation
Providing supplemental oxygen therapy is a priority intervention to ensure adequate oxygenation and support vital organ function in a client with thyroid storm. This condition can cause increased metabolic demand and potential respiratory distress.
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