The nurse is providing care for a client with thyroid storm. Which intervention is important to address fluid and electrolyte imbalances in this client?
Administering diuretics as ordered.
Monitoring intake and output closely.
Restricting fluid intake to prevent overload.
Encouraging high-sodium foods.
The Correct Answer is B
Monitoring intake and output is important to assess fluid balance and prevent dehydration or fluid overload, which can occur in thyroid storm.
Incorrect choices:
a. Administering diuretics is not typically indicated in thyroid storm management and may exacerbate fluid and electrolyte imbalances.
c. Restricting fluid intake is not appropriate in thyroid storm, as clients may require intravenous fluids to maintain hydration.
d. Encouraging high-sodium foods is not a priority intervention in thyroid storm and may exacerbate fluid and electrolyte imbalances.
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Related Questions
Correct Answer is B
Explanation
Thyroid storm can lead to increased metabolism and utilization of electrolytes, including potassium. Hypokalemia may develop and requires monitoring and correction.
Incorrect choices:
a. Hyperkalemia is not commonly associated with thyroid storm and is less likely to occur.
c. Hypercalcemia is not a typical electrolyte imbalance in thyroid storm.
d. Hypocalcemia is not a typical electrolyte imbalance in thyroid storm.
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.
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