The nurse is caring for a client with thyroid storm. Which electrolyte imbalance is commonly associated with thyroid storm and requires monitoring and correction?
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypocalcemia
The Correct Answer is B
Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.
Incorrect choices:
a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.
c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.
d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.
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Related Questions
Correct Answer is B
Explanation
Thyroid storm can suppress the immune system, making the client more susceptible to infections. Monitoring for signs of infection, such as fever, increased white blood cell count, and localized redness, helps prevent and promptly address complications.
Incorrect choices:
a. Administering supplemental iodine is not indicated in thyroid storm management and could worsen the condition.
c. While adequate nutrition is important, encouraging a high-calorie, high-protein diet is not a priority intervention in thyroid storm.
d. Administering intravenous potassium supplements is not a standard intervention for thyroid storm. Electrolyte imbalances may occur, but potassium replacement should be based on laboratory values.
Correct Answer is B
Explanation
In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.
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