The nurse preceptor observes a newly hired nurse care for a client with a myxedema coma. It would require follow up by the nurse preceptor if the newly hired nurse is observedA. applying a cooling blanket to the client.B. requesting a prescription for hydrocortisone.C. removing the water pitcher from the bedside.D. placing an oral endotracheal tube at the bedside for potential use.
Question
The nurse preceptor observes a newly hired nurse care for a client with a myxedema coma. It would require follow up by the nurse preceptor if the newly hired nurse is observedA. applying a cooling blanket to the client.B. requesting a prescription for hydrocortisone.C. removing the water pitcher from the bedside.D. placing an oral endotracheal tube at the bedside for potential use.
Solution
The correct answer is A. Applying a cooling blanket to the client.
Here's why:
A. Myxedema coma is a severe, life-threatening form of hypothyroidism that can lead to decreased mental status and hypothermia. However, applying a cooling blanket would further lower the body temperature, which is not desirable in this case.
B. Requesting a prescription for hydrocortisone is appropriate because adrenal insufficiency can accompany myxedema coma. Hydrocortisone would help to treat this.
C. Removing the water pitcher from the bedside could be appropriate because patients with myxedema coma can have altered mental status, which could lead to aspiration.
D. Placing an oral endotracheal tube at the bedside for potential use is also appropriate because myxedema coma can lead to respiratory failure, and the patient may need to be intubated.
Therefore, the action that would require follow-up by the nurse preceptor is the newly hired nurse applying a cooling blanket to the client.
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