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 D

Explanation

Minimizing external stimuli and noise helps reduce stress and anxiety for the client with thyroid storm and promotes a calm and safe environment.

Incorrect choices:

a. Administering sedatives may be necessary, but it is not the primary intervention to maintain a safe environment.

b. Providing a dark and dimly lit room is not necessary and may contribute to feelings of isolation.

c. Encouraging social interaction may not be appropriate for a client experiencing symptoms of thyroid storm, as rest and reduced stimuli are important.

A. "I will avoid over-the-counter medications that contain pseudoephedrine." B. "I will wear lightweight clothing and use fans to stay cool in hot weather." C. "I will consume foods that are rich in iodine to support thyroid function." D. "I will report any signs of infection or illness to my healthcare provider."

Correct Answer is C

Explanation

Consuming foods rich in iodine can exacerbate hyperthyroidism and increase the risk of thyroid storm. Iodine is a component of thyroid hormones, and excess intake can worsen thyroid hormone production.

Incorrect choices:

a. This choice is correct. Over-the-counter medications containing pseudoephedrine can stimulate the sympathetic nervous system and exacerbate hyperthyroidism, leading to thyroid storm.

b. This choice is correct. Staying cool in hot weather helps prevent excessive heat stress on the body and minimizes sympathetic nervous system activity that can exacerbate hyperthyroidism.

d. This choice is correct. Reporting signs of infection or illness is important to ensure timely medical attention and prevent potential exacerbation of hyperthyroidism or thyroid storm.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with thyroid storm. Which intervention is important in maintaining a safe and quiet environment for the client?

Correct Answer is D

Explanation

The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

Correct Answer is C

Explanation

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 caring for a client with thyroid storm. Which medication is administered to inhibit the release of thyroid hormones and manage thyroid storm?

The nurse is assessing a client suspected of having thyroid storm. Which finding would be of immediate concern and require prompt intervention?

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

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

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

The nurse is assessing a client with suspected thyroid storm. Which gastrointestinal manifestation is frequently observed in clients experiencing thyroid storm?