A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?

Coma

Hypothermia

Tachycardia

Fruity smelling breath

Answer and Explanation

The Correct Answer is C

A. Coma: Possible in severe cases but not universally anticipated.

B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.

C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.

D. Fruity smelling breath: Not typically associated with thyroid storm.

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Correct Answer is A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. A 45-year-old female who has a family history of autoimmune disorders B. A 73-year-old male who has an iodine deficiency C. A 25-year-old female who has metabolic syndrome D. A 35-year-old male who has Graves' disease

Correct Answer is D

Explanation

A. A 45-year-old female who has a family history of autoimmune disorders. Autoimmune disorders can increase the risk of some thyroid conditions, but not necessarily hyperthyroidism.

B. A 73-year-old male who has an iodine deficiency: Iodine deficiency can lead to goiter and hypothyroidism but is not a common cause of hyperthyroidism.

C. A 25-year-old female who has metabolic syndrome: Metabolic syndrome is not directly linked to thyroid dysfunction.

D. A 35-year-old male who has Graves' disease: Graves’ disease is an autoimmune disorder that leads to overproduction of thyroid hormones, resulting in hyperthyroidism..

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A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

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