The nurse is preparing a plan of care for a client with thyroid storm. Which nursing intervention would be the highest priority?
Administering thyroid replacement hormones
Providing antipyretics to reduce fever
Monitoring blood glucose levels
Administering beta-blockers to reduce heart rate
The Correct Answer is D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Adherence to medication therapy is crucial in managing thyroid storm. Medications are used to reduce thyroid hormone production and control symptoms. Stopping medications prematurely can lead to a recurrence of the condition.
Incorrect choices:
a. Stopping medications once symptoms improve is not recommended, as it can lead to a relapse of thyroid storm.
c. Medications should be taken as prescribed, regardless of symptom severity.
d. Skipping doses can disrupt the effectiveness of medication therapy and worsen the client's condition.
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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