A nurse is caring for a client who has Graves' disease. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?
Tachycardia
Hypotension
Neck pain
Respiratory depression
The Correct Answer is A
A. Tachycardia: This is correct. Tachycardia is one of the hallmark signs of thyroid storm, a life-threatening complication of hyperthyroidism (often seen in Graves' disease.. The excessive thyroid hormone leads to severe metabolic disturbances, including an increased heart rate.
B. Hypotension: Hypotension is not typically a feature of thyroid storm. In fact, thyroid storm is more commonly associated with hypertension due to the increased heart rate and metabolic activity.
C. Neck pain: Neck pain is not a common symptom of thyroid storm. Neck pain might be related to other conditions, such as thyroiditis or a goiter, but not specifically thyroid storm.
D. Respiratory depression: Respiratory depression is not a typical symptom of thyroid storm. On the contrary, thyroid storm often leads to symptoms like hyperventilation, not depressed breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I can have a meal up to 2 hours before the procedure.": This is not correct. Clients are typically instructed to fast for at least 8 hours before an intravenous pyelogram to ensure clear imaging results and reduce the risk of complications from anesthesia or contrast media.
B. "I will feel a warming sensation after the injection of the dye contrast.": This is correct. It is common for clients to experience a warm sensation when the contrast dye is injected during the procedure.
C. "I do not need to sign a consent form before this procedure.": This is incorrect. A consent form is required before the procedure as it involves the use of contrast dye and potential risks, such as allergic reactions.
D. "I should limit my fluid intake for 2 days after the procedure.": This is not correct. After the procedure, clients are usually encouraged to drink plenty of fluids to help flush the contrast dye from the body and prevent potential kidney complications.
Correct Answer is D
Explanation
A. "Soak in a bathtub of hot water." – Soaking in hot water is not recommended during pregnancy, as it can cause overheating and affect blood flow, potentially leading to complications such as fainting or preterm labor.
B. "Obtain a prescription for pramipexole." – Pramipexole is a medication primarily used for Parkinson’s disease and restless legs syndrome, and it is not typically prescribed to address sleep disturbances during pregnancy.
C. "Use a transcutaneous electrical nerve stimulator (TENS)." – TENS is not generally recommended for treating sleep disturbances during pregnancy. It is more commonly used for pain management.
D. "Lie on your left side with your top leg forward." – Lying on the left side with the top leg forward is a recommended sleeping position during pregnancy, as it can improve blood circulation to the fetus and reduce pressure on the vena cava, which can help improve sleep and comfort
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