The nurse is caring for a client with thyroid storm. Which intervention is important in maintaining a safe and quiet environment for the client?
Administering sedatives as ordered.
Providing a dark and dimly lit room.
Encouraging social interaction with other clients.
Minimizing external stimuli and noise.
The Correct Answer is D
Minimizing external stimuli and noise helps reduce stress and anxiety for the client with thyroid storm and promotes a calm and safe environment.
Incorrect choices:
a. Administering sedatives may be necessary, but it is not the primary intervention to maintain a safe environment.
b. Providing a dark and dimly lit room is not necessary and may contribute to feelings of isolation.
c. Encouraging social interaction may not be appropriate for a client experiencing symptoms of thyroid storm, as rest and reduced stimuli are important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.
Incorrect choices:
a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.
c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.
d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.
Correct Answer is C
Explanation
Tremors, restlessness, and anxiety are early signs of thyroid storm. Thyroid storm is a life-threatening condition characterized by an excessive release of thyroid hormones, leading to hypermetabolic state.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not typically associated with thyroid storm. Tachycardia is more common due to increased sympathetic activity.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia. Increased metabolic rate leads to elevated body temperature.
d. This choice is incorrect. Decreased appetite is not a priority assessment finding in thyroid storm. More significant symptoms such as agitation and tachycardia take precedence.
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