The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

"I will avoid over-the-counter medications that contain pseudoephedrine."

"I will wear lightweight clothing and use fans to stay cool in hot weather."

"I will consume foods that are rich in iodine to support thyroid function."

"I will report any signs of infection or illness to my healthcare provider."

Answer and Explanation

The Correct Answer is C

Consuming foods rich in iodine can exacerbate hyperthyroidism and increase the risk of thyroid storm. Iodine is a component of thyroid hormones, and excess intake can worsen thyroid hormone production.

Incorrect choices:

a. This choice is correct. Over-the-counter medications containing pseudoephedrine can stimulate the sympathetic nervous system and exacerbate hyperthyroidism, leading to thyroid storm.

b. This choice is correct. Staying cool in hot weather helps prevent excessive heat stress on the body and minimizes sympathetic nervous system activity that can exacerbate hyperthyroidism.

d. This choice is correct. Reporting signs of infection or illness is important to ensure timely medical attention and prevent potential exacerbation of hyperthyroidism or thyroid storm.

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Correct Answer is B

Explanation

In thyroid storm, the usual negative feedback loop between the hypothalamus, pituitary gland, and thyroid gland is disrupted. The excessive release of thyroid hormones suppresses the secretion of thyroid-stimulating hormone (TSH) from the pituitary gland, leading to uncontrolled thyroid hormone production.

A. Keep the room warm to prevent shivering. B. Monitor for signs of hypoglycemia. C. Encourage the client to perform strenuous physical activity. D. Administer sedatives to promote rest and relaxation.

Correct Answer is B

Explanation

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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The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the feedback loop that regulates thyroid hormone production with a client. Which component of the feedback loop is disrupted in thyroid storm?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

The nurse is educating a client about the importance of adhering to medication therapy for thyroid storm. Which statement by the client indicates a correct understanding of the treatment?

The nurse is explaining the role of the sympathetic nervous system in thyroid storm. Which statement accurately describes the interaction between the sympathetic nervous system and thyroid hormone release in this condition?

The nurse is caring for a client with thyroid storm. Which electrolyte imbalance is commonly associated with thyroid storm and requires monitoring and correction?

The nurse is caring for a client with thyroid storm. Which medication is administered to inhibit the release of thyroid hormones and manage thyroid storm?

The nurse is teaching a client with hyperthyroidism about measures to prevent thyroid storm. Which statement by the client indicates a need for further education?

The nurse is educating a client about the potential manifestations of thyroid storm. Which neuromuscular manifestation should the nurse include in the teaching?

The nurse is discussing the physiological effects of thyroid storm with a group of nursing students. Which manifestation is a direct result of the excessive thyroid hormone levels seen in thyroid storm?

The nurse is caring for a client who is newly diagnosed with hyperthyroidism. Which action by the client indicates effective prevention of thyroid storm?