What is the priority nursing problem for a client with hypoparathyroidism Quizlet
Replace intravenous fluids Show Induce shivering Relieve respiratory distress Administer a cooling blanket Rationale: Thyroid storm (also called thyroid crisis) is an extreme state of hyperthyroidism that is rare today because of improved diagnosis and treatment methods (Porth, 2005). When it does occur, those affected are usually people with untreated hyperthyroidism (most often Graves' disease) and people with hyperthyroidism who have experienced a stressor, such as an infection, trauma. The rapid increase in metabolic rate that results from the excessive TH causes the manifestations of thyroid storm. The manifestations include hyperthermia, with body temperatures ranging from 102°F (39°C) to 106°F (41°C); tachycardia; systolic hypertension; and gastrointestinal symptoms (abdominal pain, vomiting, diarrhea). Agitation, restlessness, and tremors are common, progressing to confusion, psychosis, delirium, and seizures. The mortality rate is high. Rapid treatment of thyroid storm is essential to preserve life. Treatment includes cooling without aspirin (which increases free TH) or inducing shivering, replacing fluids, glucose, and electrolytes, relieving respiratory distress, stabilizing cardiovascular function, and reducing TH synthesis and secretion. #1 is incorrect because cooling happens without the use of aspirin. All of the other choices are correct. Recommended textbook solutions
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Goal of medications are to increase calcium levels and decrease phosphate levels. IV Calcium (if very low): (ex: calcium gluconate)…. give slowly as ordered (be on cardiac monitor and watch for cardiac dysrhythmias).
Which treatment would the nurse expect to be prescribed for a patient who has hypoparathyroidism?Calcium and vitamin D supplements are the main treatment for hypoparathyroidism.
What is hypoparathyroidism?Hypoparathyroidism is a rare condition where the parathyroid glands, which are in the neck near the thyroid gland, produce too little parathyroid hormone.
Which action by the nurse would best assist client with frequent hypoglycemic episodes?Immediate and frequent glucose monitoring is vital for any patient presenting with symptoms of unstable blood glucose, particularly with hypoglycemia. Nursing management includes administering glucose tablets (approximately three), glucose gel, or carbohydrates for the conscious patient.
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