The nurse is educating a client about the triggers for thyroid storm. Which statement accurately describes a common trigger for thyroid storm?
"Thyroid storm is triggered by prolonged exposure to cold temperatures."
"Thyroid storm is commonly triggered by excessive iodine intake."
"Thyroid storm is triggered by an overproduction of parathyroid hormone."
"Thyroid storm is commonly triggered by bacterial infections."
The Correct Answer is B
Excessive iodine intake, such as from contrast agents used in imaging studies, can trigger thyroid storm in individuals with underlying hyperthyroidism. The additional iodine can stimulate further thyroid hormone release and exacerbate the condition.
Incorrect choices:
a. Prolonged exposure to cold temperatures is not a common trigger for thyroid storm.
c. Parathyroid hormone is not directly involved in thyroid hormone regulation and does not trigger thyroid storm.
d. Bacterial infections are not a common trigger for thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Monitoring intake and output is important to assess fluid balance and prevent dehydration or fluid overload, which can occur in thyroid storm.
Incorrect choices:
a. Administering diuretics is not typically indicated in thyroid storm management and may exacerbate fluid and electrolyte imbalances.
c. Restricting fluid intake is not appropriate in thyroid storm, as clients may require intravenous fluids to maintain hydration.
d. Encouraging high-sodium foods is not a priority intervention in thyroid storm and may exacerbate fluid and electrolyte imbalances.
Correct Answer is A
Explanation
Stress is a known trigger for thyroid storm in individuals with a history of hyperthyroidism. Effective stress management can help reduce the risk of thyroid storm episodes.
Incorrect choices:
b. This choice is incorrect. Stress reduction is important to prevent exacerbation of hyperthyroidism and the risk of thyroid storm, not to increase thyroid hormone production.
c. This choice is incorrect. Stress management primarily aims to prevent thyroid storm and manage hyperthyroidism, not hypothyroidism.
d. This choice is incorrect. Stress reduction helps manage hyperthyroidism and prevent thyroid storm but does not necessarily "normalize" thyroid hormone levels.
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