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Which of the following are appropriate nursing interventions for the patient in myxedema coma? (Select all that apply.)

a. Administer levothyroxine (Synthroid) as ordered.
b. Encourage the intake of foods high in sodium.
c. Initiate passive rewarming interventions.
d. Monitor airway and respiratory effort.
e. Monitor urine osmolality.

1 Answer

4 votes

Final answer:

The level of replacement thyroid hormone must be carefully monitored and adjusted if needed in cases of hypothyroidism caused by Hashimoto's thyroiditis or thyroid gland removal.

Step-by-step explanation:

When a person has hypothyroidism due to Hashimoto's thyroiditis or thyroid gland removal, they are often given medication to replace the missing thyroid hormone. The level of replacement thyroid hormone must be carefully monitored and adjusted if needed because each person's hormone requirements may differ. Monitoring ensures that the patient is receiving the right amount of thyroid hormone to maintain normal metabolism and prevent complications.

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