A patient with severe hypothyroidism is drowsy, hypothermic and breathing slowly. Which assessment is the priority?
Correct answer: A. Assess airway patency and respiratory effectiveness
- A. Assess airway patency and respiratory effectiveness
- B. Measure the patient’s usual daily calorie intake
- C. Inspect the skin for changes in pigmentation
- D. Ask about the patient’s recent bowel pattern
Explanation
Severe hypothyroidism can progress to myxoedema coma, causing respiratory depression and reduced consciousness. Airway and breathing take priority because inadequate ventilation can rapidly become life threatening. Skin, diet and bowel findings are relevant but not the immediate priority.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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