Which intervention would the nurse include when caring for a client experiencing thyroid storm?

Encourage ambulation.

Send urine sample for culture.

Monitor temperature.

Administer levothyroxine.

Answer and Explanation

The Correct Answer is C

Choice A reason: Encouraging ambulation is not a priority during a thyroid storm, as it can exacerbate symptoms.

Choice B reason: Sending a urine sample for culture is not related to the immediate management of thyroid storm.

Choice C reason: Monitoring temperature is crucial in the management of thyroid storm, as hyperthermia is a common and serious symptom.

Choice D reason: Administering levothyroxine during a thyroid storm would be contraindicated, as it could worsen the condition.

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Correct Answer is B

Explanation

Choice A reason: A high-fat diet is not recommended for clients with chronic pancreatitis as it can exacerbate symptoms and lead to malabsorption issues.

Choice B reason: Checking blood glucose is important because chronic pancreatitis can affect the endocrine function of the pancreas, potentially leading to diabetes.

Choice C reason: While a semi-Fowler's position may be comfortable for some patients, it is not specifically an intervention for chronic pancreatitis.

Choice D reason: Assessing for hypotension is a general nursing intervention but not specific to the management of chronic pancreatitis.

A. Vasodilation and fluid shift out of the vascular space B. Platelet aggregation and thrombus formation C. Decreased blood glucose and oliguria D. Hypoxemia and anaerobic metabolism

Correct Answer is A

Explanation

Choice A reason: In sepsis, inflammatory mediators cause vasodilation and increased capillary permeability, leading to fluid leaking out of the vascular space, resulting in hypotension.

Choice B reason: Platelet aggregation and thrombus formation can occur in sepsis but are more related to disseminated intravascular coagulation (DIC) rather than directly causing hypotension.

Choice C reason: Decreased blood glucose and oliguria can be consequences of sepsis but are not the primary pathophysiological processes responsible for hypotension.

Choice D reason: Hypoxemia and anaerobic metabolism may result from the effects of sepsis on the body, including hypotension, but they are not the direct cause of hypotension.

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Which intervention would the nurse include when caring for a client experiencing thyroid storm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with chronic pancreatitis. Which intervention is appropriate for this diagnosis?

Correct Answer is B

Explanation

The nurse recognizes that a patient with sepsis is at risk to develop hypotension. Which pathophysiological process is responsible for this symptom?

Correct Answer is A

Explanation

The nurse is caring for a client with sepsis. Which intervention would the nurse include to monitor for decreased tissue perfusion?

The client has been instructed about levothyroxine (Synthroid) therapy. Which statement by the client requires follow-up by the nurse?

The nurse is assessing a client diagnosed with Parkinson's disease. Which data would the nurse anticipate? Select all that apply.

Which client does the nurse identify as having the greatest risk for the development of sepsis?

The nurse is admitting a client with a thyroid disorder who presents with periorbital edema, cold intolerance, and weight gain. Which intervention should the nurse include in this client's plan of care?

Which diagnostic studies will the nurse monitor for the client being treated for sepsis? Select all that apply.

The nurse is caring for a client who has just returned to the unit following a thyroidectomy. Which assessment finding is a priority for the nurse to report to the healthcare provider?

The nurse is interviewing a client with possible Graves' disease. Which response would the nurse expect when asking the client about her comfort in cold weather?