The nurse is providing care for a client with thyroid storm. Which vital sign is crucial for the nurse to monitor frequently to assess the client's response to treatment?
Blood pressure
Respiratory rate
Body temperature
Oxygen saturation
The Correct Answer is C
Body temperature is a crucial indicator of thyroid storm severity and response to treatment. Monitoring body temperature helps assess the effectiveness of interventions in reducing hyperthermia.
Incorrect choices:
a. Blood pressure is important to monitor, but body temperature provides more direct information about the client's metabolic state.
b. Respiratory rate and oxygen saturation are important indicators of respiratory status but may not directly reflect thyroid storm severity.
d. Oxygen saturation is important for assessing respiratory status but may not directly reflect thyroid storm severity or treatment response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The radioactive iodine uptake test involves administering a small amount of radioactive iodine and measuring its uptake by the thyroid gland. This test assesses the thyroid's ability to take up iodine and produce thyroid hormones.
Incorrect choices:
a. Thyroid ultrasound is used to visualize the thyroid gland's structure and function but does not involve the use of radioactive tracers.
c. Thyroid-stimulating hormone (TSH) level is a blood test that measures the pituitary gland's response to thyroid hormone levels.
d. Thyroid peroxidase antibody (TPOAb) test detects the presence of thyroid autoantibodies and is used to diagnose autoimmune thyroid conditions.
Correct Answer is B
Explanation
Restlessness and agitation are signs of increased sympathetic nervous system activity and can indicate the severity of thyroid storm. Prompt intervention is required to prevent further deterioration.
Incorrect choices:
a. This choice is incorrect. Diarrhea can be a symptom of thyroid storm, but it is not an immediate concern that requires urgent intervention.
c. This choice is incorrect. Increased appetite is not a characteristic feature of thyroid storm. In fact, clients with thyroid storm often have decreased appetite due to the severity of their condition.
d. This choice is incorrect. Muscle weakness is a symptom of hyperthyroidism but is not an immediate concern that requires urgent intervention.
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