The nurse is providing care for a client with thyroid storm. Which nursing intervention is essential to prevent complications in this client?
Administering supplemental iodine.
Monitoring for signs of infection.
Encouraging high-calorie, high-protein diet.
Administering intravenous potassium supplements.
The Correct Answer is B
Thyroid storm can suppress the immune system, making the client more susceptible to infections. Monitoring for signs of infection, such as fever, increased white blood cell count, and localized redness, helps prevent and promptly address complications.
Incorrect choices:
a. Administering supplemental iodine is not indicated in thyroid storm management and could worsen the condition.
c. While adequate nutrition is important, encouraging a high-calorie, high-protein diet is not a priority intervention in thyroid storm.
d. Administering intravenous potassium supplements is not a standard intervention for thyroid storm. Electrolyte imbalances may occur, but potassium replacement should be based on laboratory values.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Excessive iodine intake, such as from contrast agents used in imaging studies, can trigger thyroid storm in individuals with underlying hyperthyroidism. The additional iodine can stimulate further thyroid hormone release and exacerbate the condition.
Incorrect choices:
a. Prolonged exposure to cold temperatures is not a common trigger for thyroid storm.
c. Parathyroid hormone is not directly involved in thyroid hormone regulation and does not trigger thyroid storm.
d. Bacterial infections are not a common trigger for thyroid storm.
Correct Answer is B
Explanation
In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.
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