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
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.
You might also like to view...
Hydrocephalus is suspected in a 4-month-old infant. Which of the following would the nurse expect to assess?
A) Sunken fontanels B) Diminished reflexes C) Lower extremity spasticity D) Skull symmetry
A patient is admitted with an exacerbation of asthma. Which factor places the patient at highest risk for sensory overload?
1) Administering albuterol (a central nervous stimulate) every as needed 2) Administering a tranquilizer intravenously every 2 hours as prescribed 3) Delivering oxygen at 6 L/min via nasal cannula 4) Maintaining complete bed rest in a quiet, dimly lit room
An example of primary prevention concerning mental health is:
1. Group psychotherapy 2. Stress reduction education 3. Case management 4. Monitoring illness symptoms
Implementing a treatment plan that includes mecamylamine requires monitoring the patient for:
A. mental depression. B. suicidal ideation. C. depression of the cardiovascular system. D. neuropsychiatric effects such as hostility.