Ace the 2026 RN Endocrine Exam – Empower Your Nursing Journey!

Question: 1 / 400

Which patient is most at risk for Thyroid Storm?

A 60 year-old female who reports not taking Synthroid regularly.

A 45 year-old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis.

Thyroid Storm, also known as thyrotoxic crisis, is a severe and life-threatening condition characterized by an extreme overproduction of thyroid hormones. It typically occurs in individuals with untreated or inadequately treated hyperthyroidism, especially Graves' disease.

In this case, the individual who is not taking Tapazole (a medication that inhibits thyroid hormone production) presents a significant risk for developing Thyroid Storm. The absence of this medication can lead to an uncontrolled increase in thyroid hormone levels, particularly if there is a stressor such as an illness or infection. Furthermore, the combination of not adhering to the anti-thyroid medication and experiencing diabetic ketoacidosis creates a perfect storm for triggering this severe reaction, as acute stress can precipitate the crisis.

Other patients listed do not have the same immediate risks associated with thyroid hormone production. The patient who is not taking Synthroid may have hypothyroidism rather than hyperthyroidism, and thus would not be at risk for Thyroid Storm. The child with an iodine allergy may have concerns regarding iodine intake but does not directly correlate with risks for hyperthyroid crises. The pregnant individual, while experiencing eczema, does not present any immediate issues related to hyperthyroidism or a lack of treatment for such

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A 6 year-old with an allergy to iodine.

A 25 year-old female who is pregnant with her 4th child and is experiencing eczema.

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