The nurse is educating a client with hyperthyroidism about thyroid storm. Which statement by the client indicates a need for further education?
"I will take my antithyroid medications as prescribed."
"I should avoid stressful situations and practice relaxation techniques."
"I will continue to monitor my heart rate and report any irregularities."
"If I experience constipation, I will increase my fiber intake."
The Correct Answer is D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Tremors, restlessness, and anxiety are early signs of thyroid storm. Thyroid storm is a life-threatening condition characterized by an excessive release of thyroid hormones, leading to hypermetabolic state.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not typically associated with thyroid storm. Tachycardia is more common due to increased sympathetic activity.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia. Increased metabolic rate leads to elevated body temperature.
d. This choice is incorrect. Decreased appetite is not a priority assessment finding in thyroid storm. More significant symptoms such as agitation and tachycardia take precedence.
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.
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