Hesi RN Exit Proctored Exam
A client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse complete these actions? (Rank the first action at the top with the remainder in descending order.)
Explanation & Rationale
Observing breathing patterns is the most critical initial assessment in a client with myxedema coma due to potential respiratory depression. Next, assessing blood pressure is essential as hypotension is common in this condition. Measuring body temperature follows since hypothermia is a significant concern in myxedema coma. Finally, palpating for pedal edema can provide additional information but is less urgent than the previous assessments.
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