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
Applying cold packs to the client's skin helps lower body temperature and manage hyperthermia associated with thyroid storm.
Incorrect choices:
a. Administering acetaminophen (Tylenol) alone may not effectively manage hyperthermia in thyroid storm. Cooling measures, such as cold packs, are more appropriate.
c. Administering antihistamines is not a standard intervention for managing hyperthermia in thyroid storm.
d. Encouraging warm baths is contraindicated in thyroid storm, as it can exacerbate hyperthermia. Cold measures are preferred.
Correct Answer is C
Explanation
Propylthiouracil (PTU) is an antithyroid medication that blocks the synthesis of thyroid hormones and inhibits the conversion of thyroxine (T4) to triiodothyronine (T3). It is used to manage thyroid storm and decrease thyroid hormone levels.
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