Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?
Hypotension and bradycardia
Decreased respirations and hypoxia
Obstipation and hypoactive bowel sounds
Hyperpyrexia and extreme tachycardia
The Correct Answer is D
A. Hypotension and bradycardia: Hypotension and bradycardia are associated with hypothyroidism or myxedema coma, not thyroid storm. In thyroid storm, the body experiences an increased metabolic rate, leading to elevated heart rate and blood pressure.
B. Decreased respirations and hypoxia: Decreased respirations and hypoxia are indicative of respiratory failure or conditions like severe hypothyroidism or myxedema coma, rather than thyroid storm, which causes increased metabolic demand and elevated respiratory rate.
C. Obstipation and hypoactive bowel sounds: These symptoms are more associated with hypothyroidism or severe constipation, not thyroid storm. In thyroid storm, bowel movements are typically more frequent due to the increased metabolic state.
D. Hyperpyrexia and extreme tachycardia: Thyroid storm is a life-threatening condition characterized by extreme tachycardia, hyperpyrexia (fever), agitation, and other symptoms of increased metabolism. It requires immediate medical intervention to prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypoparathyroidism: Hypoparathyroidism presents with low calcium levels and symptoms like muscle cramps, tetany, or numbness around the mouth and in the extremities. It is not associated with flushed skin, bulging eyes, or irritability.
B. Cushing's Disease: Cushing's disease is caused by excessive levels of cortisol. Symptoms include weight gain, moon face, buffalo hump, and hypertension. The findings described, such as flushed skin, bulging eyes, and irritability, are not characteristic of Cushing's disease.
C. Hypothyroidism: Hypothyroidism is associated with symptoms such as fatigue, weight gain, cold intolerance, dry skin, and constipation, not flushed skin, bulging eyes, or irritability. The symptoms described are not typical of an underactive thyroid.
D. Hyperthyroidism: Hyperthyroidism (often associated with Graves' disease) presents with flushed skin, irritability, palpitations, bulging eyes (exophthalmos), and perspiration due to the overproduction of thyroid hormones.
Correct Answer is D
Explanation
A. Gestational, requiring therapy for a very short time: Oral hypoglycemic agents are typically not recommended for gestational diabetes, as insulin is usually the preferred treatment for managing blood glucose levels during pregnancy.
B. Type 1, not stable with insulin administration only: Type 1 diabetes is characterized by insulin deficiency. Oral hypoglycemic agents are designed for type 2 diabetes, where the body still produces insulin but has insulin resistance.
C. Type 1 and type 2, not controlled by diet and exercise: Oral hypoglycemic agents are typically not used for type 1 diabetes. These medications are primarily for type 2 diabetes, when diet and exercise alone are insufficient to manage blood sugar.
D. Type 2, not controlled with diet and exercise: Oral hypoglycemic agents are used in the treatment of type 2 diabetes when diet and exercise alone are insufficient to manage blood glucose levels. These medications help improve insulin sensitivity, stimulate insulin production, or decrease glucose production in the liver.
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