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
Excessive thyroid hormone levels in thyroid storm lead to hypermetabolism, which results in increased oxygen consumption, heat production, and energy expenditure. This hypermetabolic state is associated with symptoms such as tachycardia, hypertension, fever, and profuse sweating.
Correct Answer is B
Explanation
Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.
Incorrect choices:
a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.
c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.
d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.
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