Esmeralda Espitia
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Adult health 2 test 2 Quiz on Thyroid storm , created by Esmeralda Espitia on 04/02/2020.

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Esmeralda Espitia
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Thyroid storm

Question 1 of 8

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1. Which patient is most at risk for Thyroid Storm?

Select one of the following:

  • 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.

Explanation

Question 2 of 8

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2. A patient is admitted with thyroid storm. Which sign and symptoms are NOT present with this condition-SELECT ALL THAT APPLY?

Select one or more of the following:

  • 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

Explanation

Question 3 of 8

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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?

Select one of the following:

  • A. History of mental illness

  • B. History of asthma

  • C. History of tachycardia

  • D. History of cancer

Explanation

Question 4 of 8

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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?

Select one of the following:

  • A. Antithyroid toxicity

  • B. Agranulocytosis

  • C. Thyroid storm

  • D. Bronchospasm

Explanation

Question 5 of 8

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5. Which of the following foods below should a patient experiencing a thyroid storm avoid? Select all that apply:

Select one or more of the following:

  • A. Shrimp

  • B. Milk

  • C. Hard boiled eggs

  • D. Seaweed (Kelp)

  • E. Broccoli

  • F. Peas

Explanation

Question 6 of 8

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6. Which of the following are not a treatment for Thyroid Storm?

Select one of the following:

  • A. Propylthiouracil (PTU)

  • B. Synthyroid

  • C. Inderal

  • D. Glucocorticoids

Explanation

Question 7 of 8

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7. Lugol’s solution helps block ________ of thyroid hormones in thyroid storm. Which of the following is a side effect of this medication?

Select one of the following:

  • A. the removal; tophi

  • B. excretion; swollen lymph nodes

  • C. release/synthesis; taste changes

  • D. movement; hypocalcemia

Explanation

Question 8 of 8

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8. Which of the following medication orders should a nurse question if ordered on a patient with thyroid storm?

Select one of the following:

  • 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

Explanation

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