The nurse is assessing a client with thyroid storm. Which finding would be consistent with the increased metabolic rate associated with this condition?
Hypotension
Bradycardia
Hypothermia
Hyperglycemia
The Correct Answer is D
Thyroid storm is characterized by an increased metabolic rate, leading to hyperglycemia. The increased metabolic demand and stress response can result in elevated blood glucose levels.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is associated with hypertension, not hypotension.
b. This choice is incorrect. Thyroid storm is associated with tachycardia, not bradycardia.
c. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Diarrhea is a common gastrointestinal manifestation of thyroid storm. The increased metabolic rate and hyperactivity of the digestive system can lead to frequent bowel movements and loose stools.
Correct Answer is D
Explanation
Sodium polystyrene sulfonate (Kayexalate) is used to bind excess thyroid hormones and temporarily reduce their release. It is part of the medical management of thyroid storm to manage severe hyperthyroidism.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication used to treat hypothyroidism and would exacerbate thyroid storm if given.
b. Methimazole (Tapazole) is an antithyroid medication that inhibits thyroid hormone synthesis and is used to manage thyroid storm, but it does not temporarily reduce thyroid hormone release.
c. Propranolol (Inderal) is a beta-blocker used to manage symptoms of hyperthyroidism but does not directly reduce thyroid hormone release.
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