The nurse is caring for a client with thyroid storm. In addition to antithyroid medications, which medication should the nurse anticipate administering to alleviate symptoms of increased heart rate and anxiety?
Furosemide (Lasix)
Atropine
Propranolol (Inderal)
Digoxin (Lanoxin)
The Correct Answer is C
Propranolol is a beta-blocker that can help control symptoms such as tachycardia and anxiety by blocking the effects of excess thyroid hormones on the heart.
Incorrect choices:
a. Furosemide (Lasix) is a diuretic and is not indicated for the management of symptoms in thyroid storm.
b. Atropine is not typically used to manage symptoms in thyroid storm, and it may increase heart rate.
d. Digoxin (Lanoxin) is used to treat heart failure and is not typically used to manage symptoms in thyroid storm.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Thyroid storm is a life-threatening condition characterized by severe hyperthyroidism. Hypertension is a common manifestation of thyroid storm, along with tachycardia, fever, and other signs of sympathetic nervous system overactivity.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not a typical finding in thyroid storm. Tachycardia is more common due to increased sympathetic activity.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
d. This choice is incorrect. Weight loss, rather than weight gain, is a characteristic feature of hyperthyroidism, including thyroid storm.
Correct Answer is C
Explanation
Propranolol is a beta-blocker that helps manage the cardiovascular symptoms of thyroid storm, such as tachycardia and hypertension. It is often administered as a priority to stabilize the client's condition.
Incorrect choices:
a. This choice is incorrect. Levothyroxine is a thyroid hormone replacement medication and would not be administered as a priority in the acute management of thyroid storm.
b. This choice is incorrect. Methimazole is an antithyroid medication used to block thyroid hormone production. It is important for long-term management but may not be administered as a priority during a thyroid storm crisis.
d. This choice is incorrect. Calcium gluconate may be administered to address the potential risk of hypocalcemia associated with thyroid storm, but it is not typically administered as a first-line priority medication.
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