The nurse is educating a client about the potential manifestations of thyroid storm. Which neuromuscular manifestation should the nurse include in the teaching?
Muscle weakness
Hyporeflexia
Slurred speech
Restlessness
The Correct Answer is A
Muscle weakness is a neuromuscular manifestation commonly observed in clients experiencing thyroid storm. It is attributed to the hypermetabolic state and increased breakdown of muscle tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Administering beta-blockers is a priority intervention in thyroid storm to reduce heart rate and control sympathetic nervous system effects. Thyroid storm is characterized by severe tachycardia and increased sympathetic activity.
Incorrect choices:
a. This choice is incorrect. Administering thyroid replacement hormones is not a priority intervention in the acute management of thyroid storm.
b. This choice is incorrect. While fever may occur in thyroid storm, addressing tachycardia and sympathetic overactivity is of higher priority.
c. This choice is incorrect. Monitoring blood glucose levels is important, but addressing the severe tachycardia and other immediate symptoms takes precedence.
Correct Answer is D
Explanation
Increasing intake of iodized salt can exacerbate hyperthyroidism and increase the risk of thyroid storm. Clients with hyperthyroidism are often advised to reduce iodine intake.
Incorrect choices:
a. This choice is correct. Continuing to take beta-blocker medication helps control heart rate and sympathetic nervous system effects, reducing the risk of thyroid storm.
b. This choice is correct. Exposure to extreme cold temperatures can trigger sympathetic nervous system activity and worsen hyperthyroidism or thyroid storm.
c. This choice is correct. Regular follow-up appointments with the healthcare provider are important to monitor thyroid function and adjust treatment as needed to prevent recurrence of thyroid storm.
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