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 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
Consistently taking antithyroid medications helps regulate thyroid hormone levels and prevent exacerbation of hyperthyroidism, reducing the risk of thyroid storm.
Incorrect choices:
a. This choice is correct. High-intensity interval training can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderate exercise is recommended.
c. This choice is correct. Consuming large amounts of caffeine can stimulate the sympathetic nervous system and worsen hyperthyroidism, leading to thyroid storm.
d. This choice is correct. While seafood is a source of iodine, consuming excessive amounts can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderate iodine intake is recommended.
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