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 ["A","B","C","D"]
Explanation
A. Perioperative antibiotics is correct. The benchmark is 100%. Performance was 90.4% in Q1, 88.2% in Q2, and 92.6% in Q3, all of which are below the benchmark, indicating noncompliance.
B. Smoking cessation is correct. The benchmark is 75%. While Q2 reached 100%, Q1 (70.6%) and Q3 (74%) were both below the benchmark, showing inconsistent compliance.
C. Glucose control is correct. The benchmark is 90%. All quarters were below the benchmark: Q1 (75.2%), Q2 (85.5%), and Q3 (82%).
D. Post operative normothermia is correct. The benchmark is 85%. Q1 (69%) fell below the benchmark, although Q2 and Q3 met or exceeded it. Still, any quarter below the benchmark signals an area for improvement.
E. Intraoperative vancomycin is incorrect. The benchmark is 80.2%. While Q1 (75.7%) fell slightly below the benchmark, Q2 (80.5%) and Q3 (92%) met or exceeded it, indicating overall adequate performance and improvement over time.
Correct Answer is ["A","B","D","E"]
Explanation
A. Deterioration in relationships with colleagues is correct. Substance abuse can impact a nurse's behavior, leading to mood swings, irritability, and interpersonal conflicts with colleagues. This can result in a breakdown in relationships and teamwork.
B. Changes in physical appearance, such as unkempt appearance is correct. Nurses struggling with substance abuse may exhibit poor hygiene, an unkempt appearance, and weight changes due to neglect of personal care. These changes are often visible signs of the physical and emotional toll of substance abuse.
C. Consistent improvement in work performance and productivity is incorrect. Substance abuse typically leads to decreased work performance and increased errors due to impairment in concentration, judgment, and decision-making. Improved performance is not a common indicator of substance abuse.
D. Increased incidents of medication errors is correct. Substance abuse can lead to impaired judgment and inattention to detail, which can contribute to an increase in medication errors. Nurses under the influence may struggle to follow protocols and maintain focus on patient safety.
E. Frequent unexplained absences from work is correct. Frequent absences, arriving late, or leaving early can be signs of substance abuse, as the individual may be seeking time to recover from the effects of substance use or to obtain substances.
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