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 B
Explanation
In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.
Correct Answer is D
Explanation
Minimizing external stimuli and noise helps reduce stress and anxiety for the client with thyroid storm and promotes a calm and safe environment.
Incorrect choices:
a. Administering sedatives may be necessary, but it is not the primary intervention to maintain a safe environment.
b. Providing a dark and dimly lit room is not necessary and may contribute to feelings of isolation.
c. Encouraging social interaction may not be appropriate for a client experiencing symptoms of thyroid storm, as rest and reduced stimuli are important.
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