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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Regular follow-up appointments are essential for monitoring thyroid function and adjusting medication doses if necessary. Skipping appointments even when feeling well can lead to inadequate management and potential risk of thyroid storm.

Incorrect choices:

a. This choice is correct. Taking antithyroid medication as prescribed helps to regulate thyroid hormone levels and prevent hyperthyroidism, reducing the risk of thyroid storm.

b. This choice is correct. Stress management and relaxation techniques can help prevent exacerbation of hyperthyroidism and decrease the risk of thyroid storm.

d. This choice is correct. Notifying the healthcare provider about palpitations or rapid heartbeat is important to address potential worsening of hyperthyroidism and prevent thyroid storm.

A. Blood pressure B. Respiratory rate C. Body temperature D. Oxygen saturation

Correct Answer is C

Explanation

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with a history of hyperthyroidism about preventing thyroid storm. Which statement by the client indicates a need for further education?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

The nurse is assessing a client with suspected thyroid storm. Which gastrointestinal manifestation is frequently observed in clients experiencing thyroid storm?

The nurse is administering medications to a client with thyroid storm. Which medication should the nurse administer to reduce heart rate and alleviate symptoms of hyperthyroidism?

The nurse is discussing strategies to prevent thyroid storm with a client who recently underwent radioactive iodine therapy for hyperthyroidism. Which statement by the client indicates understanding of the teaching?

The nurse is assessing a client with thyroid storm. Which finding would be consistent with the increased metabolic rate associated with this condition?

The nurse is caring for a client with thyroid storm. Which intervention is important in maintaining a safe and quiet environment for the client?

The nurse is caring for a client who is experiencing a thyroid storm. Which assessment finding would the nurse prioritize as an early sign of thyroid storm?

The nurse is caring for a client with thyroid storm. Which intervention is essential to manage hyperthermia in this client?

The nurse is assessing a client with suspected thyroid storm. Which finding would the nurse anticipate during the assessment?