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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Administering antithyroid medications, such as propylthiouracil (PTU) or methimazole, is a priority in managing thyroid storm. These medications inhibit the production of thyroid hormones and help control the hyperthyroid state.

Incorrect choices:

b. Initiating high-dose thyroid hormone replacement therapy is not appropriate for thyroid storm, as the goal is to reduce thyroid hormone levels, not increase them.

c. While intravenous fluid resuscitation may be necessary to manage dehydration and electrolyte imbalances associated with thyroid storm, it is not the initial priority intervention.

d. Encouraging physical activity is contraindicated in thyroid storm, as it can exacerbate symptoms and increase the risk of complications.

A. Administering a high dose of iodine solution B. Providing supplemental oxygen therapy C. Encouraging the client to eat a high-calorie diet D. Administering intravenous insulin

Correct Answer is B

Explanation

Providing supplemental oxygen therapy is a priority intervention to ensure adequate oxygenation and support vital organ function in a client with thyroid storm. This condition can cause increased metabolic demand and potential respiratory distress.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?

Correct Answer is A

Explanation

The nurse is caring for a client diagnosed with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?

Correct Answer is B

Explanation

The nurse is educating a client about the triggers for thyroid storm. Which statement accurately describes a common trigger for 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 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 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?

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

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?

The nurse is caring for a client diagnosed with thyroid storm. Which medication is commonly used to block the synthesis of thyroid hormones and manage thyroid storm?

The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?