The nurse is providing care for a client with thyroid storm. Which nursing intervention is essential to prevent complications in this client?
Administering supplemental iodine.
Monitoring for signs of infection.
Encouraging high-calorie, high-protein diet.
Administering intravenous potassium supplements.
The Correct Answer is B
Thyroid storm can suppress the immune system, making the client more susceptible to infections. Monitoring for signs of infection, such as fever, increased white blood cell count, and localized redness, helps prevent and promptly address complications.
Incorrect choices:
a. Administering supplemental iodine is not indicated in thyroid storm management and could worsen the condition.
c. While adequate nutrition is important, encouraging a high-calorie, high-protein diet is not a priority intervention in thyroid storm.
d. Administering intravenous potassium supplements is not a standard intervention for thyroid storm. Electrolyte imbalances may occur, but potassium replacement should be based on laboratory values.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Consistently taking antithyroid medications helps regulate thyroid hormone levels and prevent exacerbation of hyperthyroidism, reducing the risk of thyroid storm.
Incorrect choices:
a. This choice is correct. High-intensity interval training can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderate exercise is recommended.
c. This choice is correct. Consuming large amounts of caffeine can stimulate the sympathetic nervous system and worsen hyperthyroidism, leading to thyroid storm.
d. This choice is correct. While seafood is a source of iodine, consuming excessive amounts can exacerbate hyperthyroidism and increase the risk of thyroid storm. Moderate iodine intake is recommended.
Correct Answer is B
Explanation
Applying cold packs to the client's skin helps lower body temperature and manage hyperthermia associated with thyroid storm.
Incorrect choices:
a. Administering acetaminophen (Tylenol) alone may not effectively manage hyperthermia in thyroid storm. Cooling measures, such as cold packs, are more appropriate.
c. Administering antihistamines is not a standard intervention for managing hyperthermia in thyroid storm.
d. Encouraging warm baths is contraindicated in thyroid storm, as it can exacerbate hyperthermia. Cold measures are preferred.
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