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?
"I will avoid over-the-counter medications that contain pseudoephedrine."
"I will wear lightweight clothing and use fans to stay cool in hot weather."
"I will consume foods that are rich in iodine to support thyroid function."
"I will report any signs of infection or illness to my healthcare provider."
The Correct Answer is C
Consuming foods rich in iodine can exacerbate hyperthyroidism and increase the risk of thyroid storm. Iodine is a component of thyroid hormones, and excess intake can worsen thyroid hormone production.
Incorrect choices:
a. This choice is correct. Over-the-counter medications containing pseudoephedrine can stimulate the sympathetic nervous system and exacerbate hyperthyroidism, leading to thyroid storm.
b. This choice is correct. Staying cool in hot weather helps prevent excessive heat stress on the body and minimizes sympathetic nervous system activity that can exacerbate hyperthyroidism.
d. This choice is correct. Reporting signs of infection or illness is important to ensure timely medical attention and prevent potential exacerbation of hyperthyroidism or thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Thyroid storm is a life-threatening condition characterized by severe hyperthyroidism. Hypertension is a common manifestation of thyroid storm, along with tachycardia, fever, and other signs of sympathetic nervous system overactivity.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not a typical finding in thyroid storm. Tachycardia is more common due to increased sympathetic activity.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
d. This choice is incorrect. Weight loss, rather than weight gain, is a characteristic feature of hyperthyroidism, including thyroid storm.
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