The nurse is providing discharge instructions to a client who experienced thyroid storm and has been stabilized. Which statement by the client indicates a need for further education?
"I will continue to take my beta-blocker medication as prescribed."
"I will avoid exposure to extreme cold temperatures."
"I will maintain regular follow-up appointments with my healthcare provider."
"I will increase my intake of iodized salt to support my thyroid function."
The Correct Answer is D
Increasing intake of iodized salt can exacerbate hyperthyroidism and increase the risk of thyroid storm. Clients with hyperthyroidism are often advised to reduce iodine intake.
Incorrect choices:
a. This choice is correct. Continuing to take beta-blocker medication helps control heart rate and sympathetic nervous system effects, reducing the risk of thyroid storm.
b. This choice is correct. Exposure to extreme cold temperatures can trigger sympathetic nervous system activity and worsen hyperthyroidism or thyroid storm.
c. This choice is correct. Regular follow-up appointments with the healthcare provider are important to monitor thyroid function and adjust treatment as needed to prevent recurrence of thyroid storm.
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
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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