The nurse is providing discharge instructions to a client who experienced thyroid storm and has been stabilized. Which statement by the client indicates a need for further education?

"I will continue to take my beta-blocker medication as prescribed."

"I will avoid exposure to extreme cold temperatures."

"I will maintain regular follow-up appointments with my healthcare provider."

"I will increase my intake of iodized salt to support my thyroid function."

Answer and Explanation

The Correct Answer is D

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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Correct Answer is B

Explanation

Applying cold packs to the client's skin helps lower body temperature and manage hyperthermia associated with thyroid storm.

Incorrect choices:

a. Administering acetaminophen (Tylenol) alone may not effectively manage hyperthermia in thyroid storm. Cooling measures, such as cold packs, are more appropriate.

c. Administering antihistamines is not a standard intervention for managing hyperthermia in thyroid storm.

d. Encouraging warm baths is contraindicated in thyroid storm, as it can exacerbate hyperthermia. Cold measures are preferred.

A. Administering supplemental iodine. B. Monitoring for signs of infection. C. Encouraging high-calorie, high-protein diet. D. Administering intravenous potassium supplements.

Correct Answer is B

Explanation

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.

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The nurse is providing discharge instructions to a client who experienced thyroid storm and has been stabilized. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

The nurse is providing care for a client with thyroid storm. Which nursing intervention is essential to prevent complications in this client?

Correct Answer is B

Explanation

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 educating a client with hyperthyroidism about thyroid storm. Which statement by the client indicates a need for further education?

The nurse is providing education to a group of nursing students about thyroid storm. Which statement by a student indicates a correct understanding of thyroid storm?

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

The nurse is preparing a plan of care for a client with thyroid storm. Which nursing intervention would be the highest priority?

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 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 reviewing diagnostic tests for a client suspected of experiencing thyroid storm. Which imaging study can provide information about the size and activity of the thyroid gland?