A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?

Provide a cooling blanket.

Monitor the client's cardiac rhythm.

Administer 0.9% sodium chloride IV.

Obtain the client's blood glucose.

Answer and Explanation

The Correct Answer is B

A.   While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.
B.   Thyroid storm can precipitate severe cardiac complications, making continuous monitoring of the client's cardiac rhythm imperative to detect any abnormalities promptly.
C.   Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.
D.   While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.

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Correct Answer is C

Explanation

A. Absence seizures typically last only a few seconds, not as long as 30 to 60 seconds, so this statement is incorrect.
B. Absence seizures typically occur without warning or aura, so this statement is incorrect.
C. Absence seizures often manifest as brief episodes of staring or blank expression, which can be mistaken for daydreaming or inattention. Educating parents about this characteristic helps them recognize and appropriately respond to absence seizures in their child.
D. Absence seizures have a sudden onset and offset without warning, so this statement is incorrect.

A. Chorioamnionitis B. Fetal anemia C. Maternal hypoglycemia D. Maternal fever

Correct Answer is C

Explanation

A. Chorioamnionitis, an infection of the fetal membranes, can lead to fetal tachycardia and no bradycardia
B. Fetal anemia might present with tachycardia rather than bradycardia.

C. Maternal hypoglycemia can cause fetal bradycardia since when a mother experiences hypoglycemia, it can result in inadequate blood glucose levels that are crucial for both her and the fetus. This condition can impair the oxygen and nutrient delivery to the fetus, as the mother's body prioritizes her own metabolic needs. Consequently, the fetal heart rate may slow down as a response to the stress of reduced energy supply.
D. Maternal fever is associated with fetal tachycardia rather than bradycardia.

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A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?

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Naxlex Comprehensive Predictor Exams

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