The nurse is providing care to a client with thyroid storm. Which intervention should the nurse implement to promote a safe environment for the client?
Keep the room warm to prevent shivering.
Monitor for signs of hypoglycemia.
Encourage the client to perform strenuous physical activity.
Administer sedatives to promote rest and relaxation.
The Correct Answer is B
Thyroid storm can lead to increased metabolism and utilization of glucose, potentially causing hypoglycemia. Monitoring blood glucose levels and assessing for signs of hypoglycemia is important to prevent complications.
Incorrect choices:
a. Keeping the room warm is not necessary and may exacerbate the client's hypermetabolic state. A comfortable room temperature is sufficient.
c. Strenuous physical activity is contraindicated in thyroid storm and can worsen symptoms. Rest is recommended.
d. Administering sedatives can mask the client's true condition and may not be appropriate for a client in thyroid storm.
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Related Questions
Correct Answer is D
Explanation
Sodium polystyrene sulfonate (Kayexalate) is used to bind excess thyroid hormones and temporarily reduce their release. It is part of the medical management of thyroid storm to manage severe hyperthyroidism.
Incorrect choices:
a. Levothyroxine (Synthroid) is a thyroid hormone replacement medication used to treat hypothyroidism and would exacerbate thyroid storm if given.
b. Methimazole (Tapazole) is an antithyroid medication that inhibits thyroid hormone synthesis and is used to manage thyroid storm, but it does not temporarily reduce thyroid hormone release.
c. Propranolol (Inderal) is a beta-blocker used to manage symptoms of hyperthyroidism but does not directly reduce thyroid hormone release.
Correct Answer is D
Explanation
Exophthalmos (protruding eyeballs) is a characteristic finding in thyroid storm due to increased sympathetic activity and inflammation of the orbital tissues.
Incorrect choices:
a. This choice is incorrect. Thyroid storm is characterized by tachycardia, not bradycardia.
b. This choice is incorrect. Thyroid storm is associated with hyperthermia, not hypothermia.
c. This choice is incorrect. Low blood pressure is not a typical finding in thyroid storm. Hypertension and tachycardia are more common.
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