The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?

Administering diuretics as ordered.

Monitoring intake and output closely.

Restricting fluid intake to prevent overload.

Encouraging high-sodium foods.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A.Thyroid storm, also known as thyrotoxic crisis, is a severe and potentially life-threatening exacerbation of hyperthyroidism.

B.Hypoglycemia is low blood sugar and is not a direct trigger for thyroid storm. It may present with symptoms like confusion or irritability but does not relate to thyroid hormone levels.

C.Diabetes insipidus involves issues with water regulation in the body, primarily related to antidiuretic hormone (ADH) deficiency. It is not related to thyroid function and does not trigger thyroid storm.

D.Hyperglycemia refers to high blood sugar levels and is typically associated with diabetes management. While stress from illness can contribute to hyperglycemic episodes, it does not trigger thyroid storm.

A. Bradycardia B. Hypothermia C. Tremors and restlessness D. Decreased appetite

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.

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The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medical history of a client with thyroid storm. Which underlying condition should the nurse recognize as a potential trigger for thyroid storm?

Correct Answer is A

Explanation

The nurse is caring for a client who is experiencing a thyroid storm. Which assessment finding would the nurse prioritize as an early sign of thyroid storm?

Correct Answer is C

Explanation

The nurse is educating a client about the potential manifestations of thyroid storm. Which neuromuscular manifestation should the nurse include in the teaching?

The nurse is caring for a client with thyroid storm. Which medication would the nurse anticipate being administered as a priority?

The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?

The nurse is providing care for a client with thyroid storm. Which nursing intervention is essential to prevent complications in this client?

The nurse is caring for a client diagnosed with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?

The nurse is reviewing diagnostic tests for a client suspected of experiencing thyroid storm. Which imaging study can provide information about the size and activity of the thyroid gland?

The nurse is providing education to a client with a history of hyperthyroidism about the importance of managing stress. Which rationale should the nurse provide to the client?

The nurse is discussing the feedback loop that regulates thyroid hormone production with a client. Which component of the feedback loop is disrupted in thyroid storm?