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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A.Thyroid storm, also known as thyrotoxic crisis, is a severe and potentially life-threatening exacerbation of hyperthyroidism.
B.Hypoglycemia is low blood sugar and is not a direct trigger for thyroid storm. It may present with symptoms like confusion or irritability but does not relate to thyroid hormone levels.
C.Diabetes insipidus involves issues with water regulation in the body, primarily related to antidiuretic hormone (ADH) deficiency. It is not related to thyroid function and does not trigger thyroid storm.
D.Hyperglycemia refers to high blood sugar levels and is typically associated with diabetes management. While stress from illness can contribute to hyperglycemic episodes, it does not trigger thyroid storm.
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