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?
Hyperthyroidism
Hypoglycemia
Diabetes insipidus
Hyperglycemia
The Correct Answer is A
A. Thyroid storm, also known as thyrotoxic crisis, is a severe and potentially life-threatening exacerbation of hyperthyroidism.
B. Hypoglycemia is low blood sugar and is not a direct trigger for thyroid storm. It may present with symptoms like confusion or irritability but does not relate to thyroid hormone levels.
C. Diabetes insipidus involves issues with water regulation in the body, primarily related to antidiuretic hormone (ADH) deficiency. It is not related to thyroid function and does not trigger thyroid storm.
D. Hyperglycemia refers to high blood sugar levels and is typically associated with diabetes management. While stress from illness can contribute to hyperglycemic episodes, it does not trigger thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Exophthalmos (protruding eyeballs) is a characteristic finding in thyroid storm due to increased sympathetic activity and inflammation of the orbital tissues.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is characterized by tachycardia, not bradycardia.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
c. This choice is incorrect. Low blood pressure is not a typical finding in thyroid storm. Hypertension and tachycardia are more common.
Correct Answer is C
Explanation
Propranolol is a beta-blocker that helps manage the cardiovascular symptoms of thyroid storm, such as tachycardia and hypertension. It is often administered as a priority to stabilize the client's condition.
Incorrect choices:
a. This choice is incorrect. Levothyroxine is a thyroid hormone replacement medication and would not be administered as a priority in the acute management of thyroid storm.
b. This choice is incorrect. Methimazole is an antithyroid medication used to block thyroid hormone production. It is important for long-term management but may not be administered as a priority during a thyroid storm crisis.
d. This choice is incorrect. Calcium gluconate may be administered to address the potential risk of hypocalcemia associated with thyroid storm, but it is not typically administered as a first-line priority medication.
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