Which of the following assessments would be most indicative of thyroid storm (thyrotoxicosis) in a client with poorly managed hyperthyroidism?
Elevated body temperature and profuse sweating.
Weight gain and cold intolerance
Muscle weakness and fatigue
Bradycardia and low blood pressure
The Correct Answer is A
A. Elevated body temperature and profuse sweating is correct. Thyroid storm (also known as thyrotoxicosis) is a severe, life-threatening exacerbation of hyperthyroidism. Common signs include elevated body temperature (fever), profuse sweating, tachycardia, hypertension, and agitation, all of which are indicative of this condition.
B. Weight gain and cold intolerance is incorrect. These are signs of hypothyroidism, not hyperthyroidism or thyroid storm. In hyperthyroidism, weight loss and heat intolerance are more typical.
C. Muscle weakness and fatigue is incorrect. While muscle weakness and fatigue can occur in hyperthyroidism, they are more commonly seen in chronic hyperthyroidism rather than in the acute setting of thyroid storm, where more extreme symptoms such as fever and tachycardia are prominent.
D. Bradycardia and low blood pressure is incorrect. Bradycardia and low blood pressure are signs of hypothyroidism, not hyperthyroidism or thyroid storm, where you would expect tachycardia and elevated blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Prevent infections NPSG.07.01.01: This goal focuses on reducing the risk of healthcare-associated infections through practices like hand hygiene and infection control protocols.
B. The 2025 Hospital National Patient Safety Goals (NPSGs) include several key objectives aimed at improving patient safety. Among the options provided, NPSG.03.04.01, which focuses on using medicines safely, is one of the goals displayed during the Room of Errors group activity in Classroom 4 on Wednesday, April 2, 2025.
C. Improve staff communication NPSG.02.03.01: This goal aims to enhance communication among healthcare team members, particularly regarding critical test results, to ensure timely and accurate patient care.
D. Identify patient safety risks NPSG.15.01.01: This goal addresses the identification and mitigation of patient safety risks, including suicide risk assessment and prevention strategies.
Correct Answer is D
Explanation
A. Luteinizing hormone (LH) is incorrect. LH is involved in regulating the reproductive system by triggering ovulation in females and stimulating testosterone production in males, but it does not primarily influence growth.
B. Thyroid-stimulating hormone (TSH) is incorrect. TSH stimulates the thyroid gland to release thyroid hormones, which regulate metabolism, but TSH is not the primary hormone responsible for controlling physical growth.
C. Adrenocorticotropic hormone (ACTH) is incorrect. ACTH stimulates the adrenal cortex to produce cortisol and other glucocorticoids, which help the body respond to stress but do not directly stimulate growth.
D. Growth hormone (GH) is correct. GH, also known as somatotropin, is secreted by the anterior pituitary and directly stimulates growth and development, particularly in bones and muscles, by promoting protein synthesis and increasing fat metabolism.
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