A nurse is caring for a client with thyroid storm. Which of the ...

[ec501234]

A nurse is caring for a client with thyroid storm. Which of the following would the nurse expect to assess?
 
  A) Memory impairment
  B) Cold intolerance
  C) Constipation
  D) Altered mental status

Question 2

A nurse is caring for a client who is prescribed thyroid hormone replacement. From which of the following signs during ongoing assessment should the nurse conclude that the client is responding to the therapy?
 
  A) Increased appetite
  B) Swollen neck
  C) Excessive sweating
  D) Flushing

[joechoochoy]

Answer to Question 1

Ans: D
Feedback:
A severe form of hyperthyroidism called thyroid storm is characterized by high fever, extreme tachycardia, and altered mental status. The nurse need not observe for memory impairment, cold intolerance, or constipation as characteristics of thyroid storm. Memory impairment, cold intolerance, and constipation are the manifestations of myxedema, which is a severe form of hypothyroidism.

Answer to Question 2

Ans: A
Feedback:
The nurse should observe for signs of therapeutic responses, which include increased appetite, weight loss, mild diuresis, an increased pulse rate, and decreased puffiness of the face, hands, and feet. The nurse need not observe for swollen neck, excessive sweating, or heat intolerance as signs of responding to therapy. Swollen neck, sore throat, and cough may occur after 2 to 3 days of administering radioactive iodine. Sweating and flushing are the adverse reactions to thyroid hormones.

[ec501234]

Both answers were spot on, thank you once again

[joechoochoy]

Great! Please up vote