CEA Nursing Practice Exam

Which symptom is typically not associated with hyperthyroid crisis?

1. Increased heart rate.

2. Loss of weight.

3. Cold intolerance.

4. Increased sweating.

The correct answer is: Cold intolerance.

Hyperthyroid crisis, also known as thyroid storm, is characterized by a significant increase in metabolic activity due to excessive levels of thyroid hormones. One of the hallmark symptoms of hyperthyroid crisis is an increased heart rate, which occurs as the heart works harder to meet the body's elevated demands for energy and oxygen. Additionally, individuals with this condition often experience weight loss, as the accelerated metabolic rate leads to burning more calories than the individual consumes. Increased sweating is also common, as the body attempts to dissipate excess heat generated by the heightened metabolic processes. Cold intolerance, on the other hand, is typically associated with hypothyroidism rather than hyperthyroidism. In hyperthyroid conditions, patients tend to experience heat intolerance, as their bodies are unable to effectively regulate temperature due to the high levels of circulating thyroid hormones. This discrepancy highlights why cold intolerance is not a symptom associated with hyperthyroid crisis. Recognizing the differences in symptoms is essential for the appropriate management and treatment of the various thyroid disorders.