The nurse is assessing a client suspected of having thyroid storm. Which finding would be of immediate concern and require prompt intervention?
Diarrhea
Restlessness
Increased appetite
Muscle weakness
The Correct Answer is B
Restlessness and agitation are signs of increased sympathetic nervous system activity and can indicate the severity of thyroid storm. Prompt intervention is required to prevent further deterioration.
Incorrect choices:
a. This choice is incorrect. Diarrhea can be a symptom of thyroid storm, but it is not an immediate concern that requires urgent intervention.
c. This choice is incorrect. Increased appetite is not a characteristic feature of thyroid storm. In fact, clients with thyroid storm often have decreased appetite due to the severity of their condition.
d. This choice is incorrect. Muscle weakness is a symptom of hyperthyroidism but is not an immediate concern that requires urgent intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Methimazole is an antithyroid medication that inhibits the synthesis of thyroid hormones by blocking the enzyme thyroid peroxidase. It is often used as part of the medical management of thyroid storm to decrease excessive thyroid hormone production.
Correct Answer is C
Explanation
Body temperature is a crucial indicator of thyroid storm severity and response to treatment. Monitoring body temperature helps assess the effectiveness of interventions in reducing hyperthermia.
Incorrect choices:
a. Blood pressure is important to monitor, but body temperature provides more direct information about the client's metabolic state.
b. Respiratory rate and oxygen saturation are important indicators of respiratory status but may not directly reflect thyroid storm severity.
d. Oxygen saturation is important for assessing respiratory status but may not directly reflect thyroid storm severity or treatment response.
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