Question

The nurse is caring for a client admitting to the unit for testing of suspected hyperthyroidism. The client describes weakness, nervousness, a racing heart beat, and recent weight loss of 15 pounds. Which action should the nurse implement first?

Answer 1

The nurse should first assess the client's vital signs when suspecting hyperthyroidism due to the immediate risk that thyroid-related arrhythmias or tachycardia can pose. Subsequently, managing nervousness, administering anti-thyroid medications, and preparing for other treatments are crucial steps.

Step-by-step explanation:

When caring for a client suspected of having hyperthyroidism who is exhibiting symptoms such as weakness, nervousness, a racing heartbeat, and significant weight loss, the nurse should first assess the client's vital signs to prioritize care. These symptoms correlate with the manifestations of hyperthyroidism, which can include a rapid and irregular heartbeat, heat intolerance, and weight loss due to an increased metabolic rate. Ensuring the patient's cardiovascular stability is a priority because thyroid hormones have a direct effect on the heart, and arrhythmias or tachycardia may pose an immediate risk.

Following vital signs assessment, further interventions can include providing a calming environment to manage nervousness, administering prescribed anti-thyroid drugs, or preparing the patient for potential treatments such as radioactive iodine therapy or thyroidectomy if medication is ineffective. These treatments aim to reduce or halt the excessive production of thyroid hormones.