Which of the following assessments would be most indicative of thyroid storm (thyrotoxicosis) in a client with poorly managed hyperthyroidism?

A. Elevated body temperature and profuse sweating is correct. Thyroid storm (also known as thyrotoxicosis) is a severe, life-threatening exacerbation of hyperthyroidism. Common signs include elevated body temperature (fever), profuse sweating, tachycardia, hypertension, and agitation, all of which are indicative of this condition.
B. Weight gain and cold intolerance is incorrect. These are signs of hypothyroidism, not hyperthyroidism or thyroid storm. In hyperthyroidism, weight loss and heat intolerance are more typical.
C. Muscle weakness and fatigue is incorrect. While muscle weakness and fatigue can occur in hyperthyroidism, they are more commonly seen in chronic hyperthyroidism rather than in the acute setting of thyroid storm, where more extreme symptoms such as fever and tachycardia are prominent.
D. Bradycardia and low blood pressure is incorrect. Bradycardia and low blood pressure are signs of hypothyroidism, not hyperthyroidism or thyroid storm, where you would expect tachycardia and elevated blood pressure.

A. The first priority when a medication error occurs is to ensure the client's safety. The nurse should assess the client for any adverse reactions or complications from receiving the wrong medication. This includes checking for any immediate signs of distress, such as changes in vital signs, breathing difficulties, or other symptoms of an allergic reaction or toxicity. Once the client’s condition is stabilized, further steps such as notifying the provider or completing an incident report can be taken.
B. Call the client's provider is incorrect as the first step. While notifying the provider is necessary, the immediate action should be to assess the client to determine if there is any harm or need for urgent intervention.
C. Complete an incident report is incorrect as the first action. Incident reports are important for documenting the error and improving future practices, but the immediate priority is the client's well-being.
D. Notify the manager is incorrect as the first action. While informing the manager is part of the process, the first priority is always the client's safety, which begins with an assessment.