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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?

A.

Coma

B.

Hypothermia

C.

Tachycardia

D.

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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Related Questions

Correct Answer is ["0.25"]

Explanation

Dopamine infusion calculation based on weight and concentration.

  • Dopamine dose ordered: 3 mcg/kg/min
  • Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
  • Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)

Calculations:

  • mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
  • mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
  • mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr

Answers:

  • mcg/min = 150 mcg/min
  • mcg/hr = 9000 mcg/hr
  • mL/hr = 0.25 mL/hr

Correct Answer is A

Explanation

A. "You will need to use a bathroom separate from other household members." This prevents others from exposure to radioiodine through bodily fluids. Radioiodine is excreted primarily through urine and to a lesser extent through saliva and sweat, necessitating separate bathroom use to minimize radiation exposure to others.

B. "You will need to remain at the hospital for the entire time the radioiodine is radioactive." Most RAI treatments for hyperthyroidism are done on an outpatient basis.

C. "A low fiber diet will be necessary." Unrelated to radioiodine treatment. There is no specific dietary restriction related to fiber for RAI treatment.

D. "Additional Immunizations will be needed for full protection." Not relevant to radioiodine treatment. Radioiodine treatment does not require additional immunizations.

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