Page 1440 - Saunders Comprehensive Review For NCLEX-RN

Priority Concepts: Clinical Judgment; Gas Exchange
Reference: Lewis et al. (2017), pp. 1167-1168.

511. Answer: 1, 2, 4, 5

Rationale: Thyroid storm is an acute and life-threatening complication that occurs
in a client with uncontrollable hyperthyroidism. Signs and symptoms of thyroid
storm include elevated temperature (fever), nausea, and tremors. In addition, as the
condition progresses, the client becomes confused. The client is restless and anxious
and experiences tachycardia.
Test-Taking Strategy: Focus on the subject, signs and symptoms indicating a
complication of hyperthyroidism. Recall that thyroid storm is a complication of
hyperthyroidism. Options 3 and 6 can be eliminated if you remember that thyroid
storm is caused by the release of thyroid hormones into the bloodstream, causing
uncontrollable hyperthyroidism. Lethargy and bradycardia (think: slow down) are
signs of hypothyroidism (slow metabolism).
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Endocrine
Health Problem: Adult Health: Endocrine: Thyroid Disorders
Priority Concepts: Clinical Judgment; Thermoregulation
Reference: Ignatavicius, Workman, Rebar (2018), p. 1270.

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