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 B
Explanation
Hyperventilation, or rapid and deep breathing, is a respiratory manifestation commonly observed in clients with thyroid storm. The increased metabolic rate and elevated body temperature contribute to respiratory alkalosis and hyperventilation.
Incorrect choices:
a. Bradypnea, or slow breathing, is not a characteristic respiratory manifestation of thyroid storm.
c. Wheezing is not commonly associated with thyroid storm and is more indicative of respiratory conditions such as asthma.
d. Decreased respiratory rate is not a typical manifestation of thyroid storm, as clients often experience rapid breathing due to the hypermetabolic state.
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.
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