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 ["65.0"]
Explanation
Step 1: Convert weight from pounds to kilograms
143 lbs÷2.2=65 kg
Step 2: Calculate the dose
1 mg/kg×65 kg=65 mg
Answer: 65mg
Correct Answer is ["B","D","E","F","G"]
Explanation
A. Potatoes is incorrect. While potatoes are nutritious, they are not a good source of calcium. They are primarily a source of carbohydrates and potassium, not calcium.
B. Collard greens is correct. Collard greens are a good source of calcium and are beneficial for individuals with hypoparathyroidism who need to increase their calcium intake.
C. Brown rice is incorrect. While brown rice is a healthy whole grain, it is not a significant source of calcium.
D. Soy products is correct. Many soy products, such as tofu, soy milk, and edamame, are often fortified with calcium and can be beneficial in treating hypoparathyroidism.
E. Calcium and vitamin D-fortified orange juice is correct. Fortified orange juice contains both calcium and vitamin D, which are important for calcium absorption, making it a good option for treating hypoparathyroidism.
F. Sardines is correct. Sardines are high in calcium, especially because they are typically eaten with their bones, which are a great source of calcium.
G. Kale is correct. Kale is a leafy green vegetable that provides a good amount of calcium, making it beneficial for individuals with hypoparathyroidism.
H. Stewed figs is incorrect. While figs do contain some calcium, they are not as significant a source as other foods like dairy products, leafy greens, or fortified products.
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