The nurse is caring for a client suspected of having thyroid storm. Which laboratory test is commonly used to assess thyroid function and diagnose thyroid storm?
Complete blood count (CBC)
Serum electrolyte panel
Thyroid-stimulating hormone (TSH) level
Thyroid hormone levels (T3 and T4)
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypertension is a common cardiovascular manifestation of thyroid storm. The excessive release of thyroid hormones leads to increased cardiac output, resulting in elevated blood pressure.
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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