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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Diabetic retinopathy: Diabetic retinopathy is a complication of diabetesthat affects the eyes, specifically the retina and can lead to vision loss. It is not directly associated with diabetic neuropathy, which affects the nerves.

B. Kidney failure: Kidney failure can result from diabetic nephropathy, a complication of diabetes that affects the kidneys, but it is not the primary concern of diabetic neuropathy. Diabetic neuropathy primarily affects the nerves, especially in the extremities.

C. Undetected foot injury: Diabetic neuropathycan cause numbnessand reduced sensationin the feet, making it difficult for the patient to feel foot injuries. This can lead to undetected foot injuries, which can become infected and lead to serious complications like ulcers or even amputation.

D. Atherosclerosis: Atherosclerosis (plaque buildup in the arteries) can be a complication of diabetesand contribute to cardiovascular disease, but it is not a direct result of diabetic neuropathy. Neuropathy primarily affects the nerves, not the blood vessels.

A. The patient's food allergies include shrimp. B. The patient takes prescribed potassium supplements. C. The patient did not take his morning dose of antihypertensive medication. D. The patient was not NPO for at least 6 hours.

Correct Answer is A

Explanation

A. The patient's food allergies include shrimp: Individuals with shellfish allergies may be at risk for an allergic reaction to iodine-based contrast media. The nurse should report this to the physician as it could increase the likelihood of an allergic reaction during the procedure.

B. The patient takes prescribed potassium supplements: While it is important to monitor potassium levels, taking potassium supplements is not directly related to the use of contrast media. There is no immediate concern.

C. The patient did not take his morning dose of antihypertensive medication: This is generally not an urgent concern. Missing a dose of antihypertensive medication does not directly affect the safety or effectiveness of contrast media.

D. The patient was not NPO for at least 6 hours: While it is important for the patient to be NPO before certain procedures, missing the fasting requirement may be an issue, but it is not as critical as a potential allergy to contrast media.

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Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?

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Naxlex Comprehensive Predictor Exams

The nurse should teach the client to monitor for which complication of diabetic neuropathy?

Correct Answer is C

Explanation

The nurse is preparing a patient for a test that will involve the use of contrast media. Which finding in the patient's health history should be reported to the physician before the examination?

Correct Answer is A

Explanation

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A patient, newly diagnosed with hypothyroidism, has received a prescription for thyroid replacement therapy. The nurse will instruct the patient to take this medication at which time of day?

Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

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