A patient newly diagnosed with hyperthyroidism has a fever of 101.3°F. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.

A. Periorbital edema: Periorbital edema is more commonly associated with hypothyroidism or thyroid eye disease (Graves’ orbitopathy), not thyroid storm. It does not typically present as an acute sign of thyroid storm. B. Recent tooth extraction: Recent invasive procedures such as tooth extraction can act as a precipitating stressor for thyroid storm by triggering an acute release of thyroid hormones. Identifying such triggers is important for prompt intervention. C. Hypoventilation: Thyroid storm typically causes increased metabolism leading to tachypnea (rapid breathing), not hypoventilation. Respiratory rate is generally elevated to meet increased oxygen demands. D. Diarrhea last 4 days: Gastrointestinal symptoms like diarrhea are common in thyroid storm due to increased gastrointestinal motility from excess thyroid hormone. Persistent diarrhea reflects systemic hypermetabolism. E. Heart rate 140 bpm: A significantly elevated heart rate (tachycardia) is a hallmark feature of thyroid storm and reflects excessive thyroid hormone stimulation on the cardiovascular system, increasing risk for cardiac complications.