What is the priority nursing problem for a client with hypoparathyroidism Quizlet

Replace intravenous fluids

Induce shivering

Relieve respiratory distress

Administer a cooling blanket

Rationale: Thyroid storm [also called thyroid crisis] is an extreme state of hyperthyroidism that is rare today because of improved diagnosis and treatment methods [Porth, 2005]. When it does occur, those affected are usually people with untreated hyperthyroidism [most often Graves' disease] and people with hyperthyroidism who have experienced a stressor, such as an infection, trauma. The rapid increase in metabolic rate that results from the excessive TH causes the manifestations of thyroid storm. The manifestations include hyperthermia, with body temperatures ranging from 102°F [39°C] to 106°F [41°C]; tachycardia; systolic hypertension; and gastrointestinal symptoms [abdominal pain, vomiting, diarrhea]. Agitation, restlessness, and tremors are common, progressing to confusion, psychosis, delirium, and seizures. The mortality rate is high. Rapid treatment of thyroid storm is essential to preserve life. Treatment includes cooling without aspirin [which increases free TH] or inducing shivering, replacing fluids, glucose, and electrolytes, relieving respiratory distress, stabilizing cardiovascular function, and reducing TH synthesis and secretion. #1 is incorrect because cooling happens without the use of aspirin. All of the other choices are correct.

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