Thyroid storm

Description

Adult health 2 test 2 Quiz on Thyroid storm , created by Esmeralda Espitia on 04/02/2020.
Esmeralda Espitia
Quiz by Esmeralda Espitia, updated more than 1 year ago
Esmeralda Espitia
Created by Esmeralda Espitia over 4 years ago
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Resource summary

Question 1

Question
1. Which patient is most at risk for Thyroid Storm?
Answer
  • A. A 60 year old female who reports not taking Synthroid regularly.
  • B. A 45 year old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis.
  • C. A 6 year old with an allergy to iodine.
  • D. A 25 year old female who is pregnant with her 4th child and is experiencing eczema.

Question 2

Question
2. A patient is admitted with thyroid storm. Which sign and symptoms are NOT present with this condition-SELECT ALL THAT APPLY?
Answer
  • A. Temperature of 104.9’F
  • B. Heart rate of 125 bpm
  • C. Respirations of 42
  • D. Heart rate of 20 bpm
  • E. Intolerance to cold
  • F. Restless

Question 3

Question
3. A physician orders a patient in thyroid storm to be started on Inderal. What in the patient’s health history causes the nurse to question the doctor’s order?
Answer
  • A. History of mental illness
  • B. History of asthma
  • C. History of tachycardia
  • D. History of cancer

Question 4

Question
4. A patient taking Tapazole reports feeling dizzy, intolerant to cold, and tired. On assessment, you note the patient’s heart rate is 45 and blood pressure is 70/30. What is the most likely cause?
Answer
  • A. Antithyroid toxicity
  • B. Agranulocytosis
  • C. Thyroid storm
  • D. Bronchospasm

Question 5

Question
5. Which of the following foods below should a patient experiencing a thyroid storm avoid? Select all that apply:
Answer
  • A. Shrimp
  • B. Milk
  • C. Hard boiled eggs
  • D. Seaweed (Kelp)
  • E. Broccoli
  • F. Peas

Question 6

Question
6. Which of the following are not a treatment for Thyroid Storm?
Answer
  • A. Propylthiouracil (PTU)
  • B. Synthyroid
  • C. Inderal
  • D. Glucocorticoids

Question 7

Question
7. Lugol’s solution helps block ________ of thyroid hormones in thyroid storm. Which of the following is a side effect of this medication?
Answer
  • A. the removal; tophi
  • B. excretion; swollen lymph nodes
  • C. release/synthesis; taste changes
  • D. movement; hypocalcemia

Question 8

Question
8. Which of the following medication orders should a nurse question if ordered on a patient with thyroid storm?
Answer
  • A. Propylthiouracil “PTU” for a 25 year old who is 8 weeks pregnant.
  • B. Aspirin as needed for a fever greater than 102.2 ‘F
  • C. Inderal for a patient who reports having insomnia
  • D. Tapazole for a 30 year old having complaints of headache
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