A nurse is caring for a client in the clinic

Exhibits

Complete the following sentence by using the list of options.

The nurse should first address the client's

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A. "Discussing organ donation with the family": While organ donation is important, it is not the priority in the setting of an actively dying client. The primary concern at this stage should be addressing the immediate needs of the client and their family, focusing on emotional support and comfort.
B. "Communicating sensitively with the client and family.": When caring for a client who is actively dying, providing emotional support and clear communication with the family is critical. Sensitively addressing the family’s concerns and the client’s comfort is essential in this stage of care.
C. "Creating a plan for pain relief, nutrition, and hydration.": While ensuring pain relief is important, in the context of an actively dying patient, the focus should primarily be on comfort rather than ongoing interventions like nutrition and hydration, which may no longer be beneficial.
D. "Contacting the family's spiritual advisor.": While spiritual support is valuable, it should not be the first priority. Ensuring the client’s comfort and providing emotional support to the family should be prioritized initially, and the spiritual advisor can be contacted afterward if desired.

A. Anxiety, unintended weight loss, palpitations: These symptoms are consistent with hyperthyroidism, where excess thyroid hormone speeds up metabolism. Hyperthyroidism is typically associated with low TSH levels due to negative feedback suppression of the pituitary gland.
B. Fatigue, constipation, weight gain: These are classic symptoms of hypothyroidism, where a deficiency of thyroid hormones slows metabolic processes. An elevated TSH level reflects the pituitary's response to low circulating thyroid hormone, attempting to stimulate the thyroid to produce more.
C. Increased thirst, increased urine output, and weight loss: These symptoms point to hyperglycemia or conditions like diabetes mellitus, not thyroid dysfunction. They are due to glucose imbalances rather than altered thyroid hormone or TSH levels.
D. Shakiness, sweating, nausea: These symptoms are typically seen in hypoglycemia or acute adrenal issues, where blood glucose or cortisol levels drop. They do not correspond with thyroid hormone imbalances or elevated TSH.