A patient with untreated hyperthyroidism is restless, febrile, tachycardic and confused. Which nursing action has the highest priority?

Correct answer: A. Place the patient in a cool environment and assess vital signs frequently

  • A. Place the patient in a cool environment and assess vital signs frequently
  • B. Encourage vigorous exercise to reduce nervous energy
  • C. Offer a high-fibre meal before completing the assessment
  • D. Apply extra blankets to prevent heat loss

Explanation

Fever, severe tachycardia and confusion may indicate thyroid storm, a life-threatening emergency. Cooling and close assessment support airway, breathing and circulation while urgent medical treatment is arranged; exercise and extra heat increase metabolic stress.

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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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