The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?
Keep the room warm to prevent shivering.
Monitor for signs of hypoglycemia.
Encourage the client to perform strenuous physical activity.
Administer sedatives to promote rest and relaxation.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Methimazole is an antithyroid medication that inhibits the synthesis of thyroid hormones by blocking the enzyme thyroid peroxidase. It is often used as part of the medical management of thyroid storm to decrease excessive thyroid hormone production.
Correct Answer is D
Explanation
Increasing intake of iodized salt can exacerbate hyperthyroidism and increase the risk of thyroid storm. Clients with hyperthyroidism are often advised to reduce iodine intake.
Incorrect choices:
a. This choice is correct. Continuing to take beta-blocker medication helps control heart rate and sympathetic nervous system effects, reducing the risk of thyroid storm.
b. This choice is correct. Exposure to extreme cold temperatures can trigger sympathetic nervous system activity and worsen hyperthyroidism or thyroid storm.
c. This choice is correct. Regular follow-up appointments with the healthcare provider are important to monitor thyroid function and adjust treatment as needed to prevent recurrence of thyroid storm.
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