The nurse is preparing a plan of care for a client with thyroid storm. Which nursing intervention would be the highest priority?
Administering thyroid replacement hormones
Providing antipyretics to reduce fever
Monitoring blood glucose levels
Administering beta-blockers to reduce heart rate
The Correct Answer is D
Administering beta-blockers is a priority intervention in thyroid storm to reduce heart rate and control sympathetic nervous system effects. Thyroid storm is characterized by severe tachycardia and increased sympathetic activity.
Incorrect choices:
a. This choice is incorrect. Administering thyroid replacement hormones is not a priority intervention in the acute management of thyroid storm.
b. This choice is incorrect. While fever may occur in thyroid storm, addressing tachycardia and sympathetic overactivity is of higher priority.
c. This choice is incorrect. Monitoring blood glucose levels is important, but addressing the severe tachycardia and other immediate symptoms takes precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Administering beta-blockers is a priority intervention in thyroid storm to reduce heart rate and control sympathetic nervous system effects. Thyroid storm is characterized by severe tachycardia and increased sympathetic activity.
Incorrect choices:
a. This choice is incorrect. Administering thyroid replacement hormones is not a priority intervention in the acute management of thyroid storm.
b. This choice is incorrect. While fever may occur in thyroid storm, addressing tachycardia and sympathetic overactivity is of higher priority.
c. This choice is incorrect. Monitoring blood glucose levels is important, but addressing the severe tachycardia and other immediate symptoms takes precedence.
Correct Answer is B
Explanation
In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.
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