Which signs/symptoms should make the nurse suspect the client is experiencing a thyroid storm?
Explanation & Rationale
A. Hypotension and bradycardia: Hypotension and bradycardia are associated with hypothyroidism or myxedema coma, not thyroid storm. In thyroid storm, the body experiences an increased metabolic rate, leading to elevated heart rate and blood pressure. B. Decreased respirations and hypoxia: Decreased respirations and hypoxia are indicative of respiratory failure or conditions like severe hypothyroidism or myxedema coma, rather than thyroid storm, which causes increased metabolic demand and elevated respiratory rate. C. Obstipation and hypoactive bowel sounds: These symptoms are more associated with hypothyroidism or severe constipation, not thyroid storm. In thyroid storm, bowel movements are typically more frequent due to the increased metabolic state. D. Hyperpyrexia and extreme tachycardia: Thyroid storm is a life-threatening condition characterized by extreme tachycardia, hyperpyrexia (fever), agitation, and other symptoms of increased metabolism. It requires immediate medical intervention to prevent complications.