Free NCLEX Practice Questions.
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Free Nclex Practice Question
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1. Question
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially?
Correct
Answer & Rationale.
Option 2 is correct
Rationale: The initial nursing action would be to maintain a patent airway. Oxygen would be administered, followed by fluid replacement, keeping the client warm, monitoring vital signs, and administering thyroid hormones by the intravenous route.
Test-Taking Strategy: Use the process of elimination and note the strategic word initially. All the options are appropriate interventions, but use the ABCs—airway, breathing, and circulation—in selecting the correct option. Review the initial interventions for myxedema coma if you had difficulty with this question.
Incorrect
Answer & Rationale.
Option 2 is correct
Rationale: The initial nursing action would be to maintain a patent airway. Oxygen would be administered, followed by fluid replacement, keeping the client warm, monitoring vital signs, and administering thyroid hormones by the intravenous route.
Test-Taking Strategy: Use the process of elimination and note the strategic word initially. All the options are appropriate interventions, but use the ABCs—airway, breathing, and circulation—in selecting the correct option. Review the initial interventions for myxedema coma if you had difficulty with this question.
