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 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.
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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