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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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