The nurse is caring for a client diagnosed with thyroid storm. Which ocular manifestation should the nurse closely monitor for in this client?
Dry eyes
Blurred vision
Exophthalmos
Myopia
The Correct Answer is C
Exophthalmos, or protruding eyeballs, is an ocular manifestation commonly associated with thyroid storm. It is caused by the accumulation of fluid and tissue behind the eyes, often seen in Graves' disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Administering beta-blockers is a priority intervention in thyroid storm to reduce heart rate and control sympathetic nervous system effects. Thyroid storm is characterized by severe tachycardia and increased sympathetic activity.
Incorrect choices:
a. This choice is incorrect. Administering thyroid replacement hormones is not a priority intervention in the acute management of thyroid storm.
b. This choice is incorrect. While fever may occur in thyroid storm, addressing tachycardia and sympathetic overactivity is of higher priority.
c. This choice is incorrect. Monitoring blood glucose levels is important, but addressing the severe tachycardia and other immediate symptoms takes precedence.
Correct Answer is D
Explanation
Measuring thyroid hormone levels, specifically triiodothyronine (T3) and thyroxine (T4), is an essential diagnostic evaluation for thyroid storm. Elevated levels of these hormones indicate excessive thyroid hormone production and are indicative of thyroid storm.
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