The nurse is discussing strategies to prevent thyroid storm with a client who recently underwent radioactive iodine therapy for hyperthyroidism. Which statement by the client indicates understanding of the teaching?
"I will avoid foods that are high in iodine, like seafood."
"I will engage in strenuous physical activity to boost my metabolism."
"I will stop taking my antithyroid medication since I received radioactive iodine."
"I will continue to take my antithyroid medication as prescribed."
The Correct Answer is D
After radioactive iodine therapy, it may take several weeks for thyroid hormone levels to normalize. Continuing antithyroid medication during this period helps prevent exacerbation of hyperthyroidism and potential thyroid storm.
Incorrect choices:
a. This choice is incorrect. While avoiding excessive iodine intake is important, avoiding all foods high in iodine is unnecessary and could lead to nutritional deficiencies.
b. This choice is incorrect. Strenuous physical activity can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderation in physical activity is recommended.
c. This choice is incorrect. Stopping antithyroid medication after radioactive iodine therapy is not recommended, as thyroid hormone levels may not immediately normalize.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Thyroid storm is characterized by an increased metabolic rate, leading to hyperglycemia. The increased metabolic demand and stress response can result in elevated blood glucose levels.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is associated with hypertension, not hypotension.
b. This choice is incorrect. Thyroid storm is associated with tachycardia, not bradycardia.
c. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
Correct Answer is C
Explanation
A thyroid ultrasound is a diagnostic tool that can assess the size, structure, and activity of the thyroid gland. It provides information about the presence of any thyroid nodules, enlargement, or abnormalities.
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