Difficulty: Medium
Average Score: 94%
Simulated
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4┬░F, Pulse Oximetry-96%. What action should the nurse take?
Correct answer
D
Rationale
Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.