The nurse is providing care for a client with thyroid storm. Which vital sign is crucial for the nurse to monitor frequently to assess the client's response to treatment?
Blood pressure
Respiratory rate
Body temperature
Oxygen saturation
The Correct Answer is C
Body temperature is a crucial indicator of thyroid storm severity and response to treatment. Monitoring body temperature helps assess the effectiveness of interventions in reducing hyperthermia.
Incorrect choices:
a. Blood pressure is important to monitor, but body temperature provides more direct information about the client's metabolic state.
b. Respiratory rate and oxygen saturation are important indicators of respiratory status but may not directly reflect thyroid storm severity.
d. Oxygen saturation is important for assessing respiratory status but may not directly reflect thyroid storm severity or treatment response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.
Incorrect choices:
a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.
c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.
d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.
Correct Answer is A
Explanation
Administering antithyroid medications, such as propylthiouracil (PTU) or methimazole, is a priority in managing thyroid storm. These medications inhibit the production of thyroid hormones and help control the hyperthyroid state.
Incorrect choices:
b. Initiating high-dose thyroid hormone replacement therapy is not appropriate for thyroid storm, as the goal is to reduce thyroid hormone levels, not increase them.
c. While intravenous fluid resuscitation may be necessary to manage dehydration and electrolyte imbalances associated with thyroid storm, it is not the initial priority intervention.
d. Encouraging physical activity is contraindicated in thyroid storm, as it can exacerbate symptoms and increase the risk of complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.