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

Answer and Explanation

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.

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Correct Answer is D

Explanation

The thyroid peroxidase antibody (TPOAb) test is used to detect the presence of antibodies against thyroid peroxidase, an enzyme involved in thyroid hormone production. Elevated TPOAb levels indicate autoimmune thyroid conditions, which can contribute to thyroid storm.

A. Keep the room warm to prevent shivering. B. Monitor for signs of hypoglycemia. C. Encourage the client to perform strenuous physical activity. D. Administer sedatives to promote rest and relaxation.

Correct Answer is B

Explanation

Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.

Incorrect choices:

a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.

c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.

d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.

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The nurse is preparing a plan of care for a client with thyroid storm. Which nursing intervention would be the highest priority?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with suspected thyroid storm. Which diagnostic test is used to evaluate the presence of thyroid autoantibodies and diagnose autoimmune thyroid conditions?

Correct Answer is D

Explanation

The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?

Correct Answer is B

Explanation

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The nurse is providing education to a group of nursing students about thyroid storm. Which statement by a student indicates a correct understanding of thyroid storm?

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