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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Stress is a known trigger for thyroid storm in individuals with a history of hyperthyroidism. Effective stress management can help reduce the risk of thyroid storm episodes.
Incorrect choices:
b. This choice is incorrect. Stress reduction is important to prevent exacerbation of hyperthyroidism and the risk of thyroid storm, not to increase thyroid hormone production.
c. This choice is incorrect. Stress management primarily aims to prevent thyroid storm and manage hyperthyroidism, not hypothyroidism.
d. This choice is incorrect. Stress reduction helps manage hyperthyroidism and prevent thyroid storm but does not necessarily "normalize" thyroid hormone levels.
Correct Answer is B
Explanation
Adherence to medication therapy is crucial in managing thyroid storm. Medications are used to reduce thyroid hormone production and control symptoms. Stopping medications prematurely can lead to a recurrence of the condition.
Incorrect choices:
a. Stopping medications once symptoms improve is not recommended, as it can lead to a relapse of thyroid storm.
c. Medications should be taken as prescribed, regardless of symptom severity.
d. Skipping doses can disrupt the effectiveness of medication therapy and worsen the client's condition.
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