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?

"I will make sure to take my antithyroid medication as prescribed."

"I will avoid stress and practice relaxation techniques."

"I will skip my regular follow-up appointments if I'm feeling well."

"I will notify my healthcare provider if I experience palpitations or rapid heartbeat."

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

Stress is a known trigger for thyroid storm in individuals with a history of hyperthyroidism. Effective stress management can help reduce the risk of thyroid storm episodes.

Incorrect choices:

b. This choice is incorrect. Stress reduction is important to prevent exacerbation of hyperthyroidism and the risk of thyroid storm, not to increase thyroid hormone production.

c. This choice is incorrect. Stress management primarily aims to prevent thyroid storm and manage hyperthyroidism, not hypothyroidism.

d. This choice is incorrect. Stress reduction helps manage hyperthyroidism and prevent thyroid storm but does not necessarily "normalize" thyroid hormone levels.

A. "Thyroid storm suppresses the sympathetic nervous system, leading to a decrease in thyroid hormone release." B. "The sympathetic nervous system is unaffected by thyroid storm, as it primarily regulates heart rate." C. "Thyroid storm stimulates the sympathetic nervous system, which further increases thyroid hormone release." D. "The sympathetic nervous system counteracts the effects of thyroid storm by promoting thyroid hormone clearance."

Correct Answer is C

Explanation

Thyroid storm is associated with sympathetic nervous system stimulation, leading to increased release of thyroid hormones from the thyroid gland. This results in a cascade of hypermetabolic effects throughout the body.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with a history of hyperthyroidism about the importance of managing stress. Which rationale should the nurse provide to the client?

Correct Answer is A

Explanation

The nurse is explaining the role of the sympathetic nervous system in thyroid storm. Which statement accurately describes the interaction between the sympathetic nervous system and thyroid hormone release in this condition?

Correct Answer is C

Explanation

The nurse is caring for a client with thyroid storm. Which laboratory finding would the nurse anticipate in this condition?

The nurse is explaining the pathophysiology of thyroid storm to a client. Which statement accurately describes the underlying process that contributes to thyroid storm?

The nurse is assessing a client with suspected thyroid storm. Which respiratory manifestation should the nurse anticipate in this client?

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

The nurse is reviewing the medical history of a client with thyroid storm. Which underlying condition should the nurse recognize as a potential trigger for thyroid storm?

The nurse is educating a client about diagnostic evaluations for thyroid storm. Which diagnostic test involves administering a radioactive tracer and measuring its uptake by the thyroid gland?

The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

The nurse is caring for a client with suspected thyroid storm. Which diagnostic test is used to visualize the structure and function of the thyroid gland, as well as assess for the presence of thyroid nodules or tumors?