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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Profuse sweating is a common clinical manifestation of thyroid storm. Other symptoms include tachycardia, hypertension, fever, restlessness, agitation, delirium, and gastrointestinal symptoms.

A. Bradypnea B. Hyperventilation C. Wheezing D. Decreased respiratory rate

Correct Answer is B

Explanation

Hyperventilation, or rapid and deep breathing, is a respiratory manifestation commonly observed in clients with thyroid storm. The increased metabolic rate and elevated body temperature contribute to respiratory alkalosis and hyperventilation.

Incorrect choices:

a. Bradypnea, or slow breathing, is not a characteristic respiratory manifestation of thyroid storm.

c. Wheezing is not commonly associated with thyroid storm and is more indicative of respiratory conditions such as asthma.

d. Decreased respiratory rate is not a typical manifestation of thyroid storm, as clients often experience rapid breathing due to the hypermetabolic state.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client suspected of experiencing thyroid storm. Which clinical manifestation is commonly associated with thyroid storm?

Correct Answer is C

Explanation

The nurse is assessing a client with suspected thyroid storm. Which respiratory manifestation should the nurse anticipate in this client?

Correct Answer is B

Explanation

The nurse is caring for a client with thyroid storm. Which electrolyte imbalance is commonly associated with thyroid storm and requires monitoring and correction?

The nurse is assessing a client suspected of having thyroid storm. Which finding would be of immediate concern and require prompt intervention?

The nurse is caring for a client diagnosed with thyroid storm. Which medication is commonly used to block the synthesis of thyroid hormones and manage thyroid storm?

The nurse is assessing a client with suspected thyroid storm. Which finding would the nurse anticipate during the assessment?

The nurse is caring for a client diagnosed with thyroid storm. Which intervention should the nurse prioritize in the management of this condition?

The nurse is educating a client about the potential manifestations of thyroid storm. Which neuromuscular manifestation should the nurse include in the teaching?

The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?

The nurse is explaining the role of the sympathetic nervous system in thyroid storm. Which statement accurately describes the interaction between the sympathetic nervous system and thyroid hormone release in this condition?