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NACE Care of Adults (NACE COA) Practice Tests & Test Prep by Exam Edge - Review



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Nursing Acceleration Challenge Exam Care of Adults - Reviews


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Based on 170 reviews

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"I just passed the exam.... 92%! The review materials were great and even harder than the actual exam. I probably have an average of 75% on the 1,000 questions I purchased. "



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See why our users from 154 countries love us for their exam prep! Including 170 reviews for the NACE Care of Adults exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

   Excellent -- Based on 170 reviews

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Nursing Acceleration Challenge Exam Care of Adults - Test Reviews Sample Questions

What is a characteristic of hyperthyroidism that should alert the nurse that a client is in a thyroid crisis?

Correct Answer:
pulmonary edema.


the correct answer that indicates a characteristic of hyperthyroidism leading to a thyroid crisis is "pulmonary edema."

thyroid crisis, or thyroid storm, is a severe and life-threatening condition that occurs in individuals with uncontrolled hyperthyroidism, often triggered by additional stressors such as infection, trauma, or surgery. this condition is characterized by an extreme escalation of symptoms associated with hyperthyroidism.

during a thyroid crisis, the body's metabolism is significantly heightened, leading to an overwhelming increase in heart rate (tachycardia), often exceeding 130 beats per minute. other common symptoms include a marked increase in body temperature, ranging from 102 to 106 degrees fahrenheit, which can create a hyperthermic state. gastrointestinal symptoms such as abdominal pain, vomiting, and diarrhea are also prevalent and contribute to the overall instability of the patient.

moreover, neurological symptoms like agitation and confusion are frequent, reflecting the severe impact of excessive thyroid hormones on the central nervous system. one of the critical and life-threatening manifestations of a thyroid crisis is pulmonary edema. pulmonary edema in this context is particularly concerning as it indicates severe cardiac and pulmonary strain due to the hypermetabolic state. this can lead to acute respiratory distress and requires immediate medical intervention.

while other symptoms such as excessive tearing of the eye, brittle nails, and hair loss might be associated with thyroid conditions, they are more indicative of chronic imbalances and are not specific or immediate signs of a thyroid crisis. in the context of a thyroid crisis, pulmonary edema stands out as a red flag for acute exacerbation and the potential for rapid deterioration, thus it should alert the nurse to the need for urgent and aggressive management.