Choose appropriate three interventions to stabilize the patient with acute anemia.

Choice A reason: Hypotension, chills, and thirst are not specific to thyroid storm, which presents with hypermetabolic symptoms like fever and tachycardia. These symptoms may relate to other conditions, making this incorrect, as it doesn’t match the nurse’s expected findings for thyroid storm in a hyperthyroid client requiring urgent care.

Choice B reason: Bradycardia and low urine output suggest hypothyroidism or hypovolemic shock, not thyroid storm, which is characterized by hyperdynamic signs like tachycardia. This is incorrect, as it contradicts the nurse’s recognition of thyroid storm’s hallmark symptoms, such as fever and tremors, in hyperthyroidism.

Choice C reason: Fever, tachycardia, and tremors are classic indicators of thyroid storm, a life-threatening hyperthyroidism complication caused by excessive thyroid hormone, leading to hypermetabolism. This aligns with endocrine emergency assessment, making it the correct set of symptoms the nurse would identify in this client.

Choice D reason: Lethargy, confusion, and bradycardia are associated with hypothyroidism or other conditions, not the hypermetabolic state of thyroid storm. Fever and tachycardia are key, making this incorrect, as it misaligns with the nurse’s expected symptoms for a hyperthyroidism-related emergency like thyroid storm.

Choice A reason: Loose stools may cause potassium loss but are less specific than weakness, which suggests hypokalemia from diuretics. A metabolic panel confirms this, making this incorrect, as it’s not the nurse’s priority compared to ordering lab tests for potassium levels.

Choice B reason: Calling a rapid response team is premature for generalized weakness, which likely indicates hypokalemia. A metabolic panel is appropriate, making this incorrect, as it overreacts compared to the nurse’s focus on assessing electrolyte imbalances first.

Choice C reason: Suggesting a basic metabolic panel checks potassium levels, as weakness may indicate hypokalemia from a potassium-wasting diuretic. This aligns with diuretic management, making it the correct action the nurse would take to confirm and address the patient’s symptoms.

Choice D reason: Facial muscle spasms are unrelated to hypokalemia; weakness is the key symptom. A metabolic panel is needed, making this incorrect, as it misdirects the nurse’s assessment compared to ordering labs to evaluate diuretic-related electrolyte imbalances.