{"id":1330,"date":"2022-08-31T13:12:00","date_gmt":"2022-08-31T13:12:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=1330"},"modified":"2026-04-21T11:57:16","modified_gmt":"2026-04-21T19:57:16","slug":"nclex-question-of-the-day-chronic-hypothyroidism","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Chronic hypothyroidism"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism\/#Ready_to_put_your_nursing_knowledge_to_the_test\" >Ready to put your nursing knowledge to the test?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-chronic-hypothyroidism\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a client diagnosed with myxedema coma.&nbsp;<\/em><\/strong><strong><em>Can you figure it out?<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a client diagnosed with myxedema coma resulting from chronic hypothyroidism. Which intervention should the nurse perform&nbsp;<strong>first<\/strong>?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Cover the client in a cooling blanket<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Maintain the client\u2019s head of bed above 60 degrees<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Administer prescribed oral levothyroxine<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Encourage the client to drink fluids<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-embed-handler wp-block-embed-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"NEW Resources for Nursing Students!\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/npr5bg20_78?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/nclex-rn\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><u>Check out our&nbsp;NCLEX-RN Study Plan Guide!<\/u><\/strong><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Maintain the client\u2019s head of bed above 60 degrees<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;This intervention should be performed first. The nurse should prioritize nursing interventions using the concept of airway, breathing, circulation (ABCs). Clients diagnosed with myxedema coma can lose airway patency and have decreased consciousness due to the slowed metabolic processes. Therefore, keeping the head of the bed elevated between 60 and 90 degrees, or High Fowler\u2019s position, will assist the client to maintain an open airway.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"275\" height=\"183\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/person-sitting-60-degrees.png\" alt=\"A person sitting with the head of bed above 60 degrees.\" class=\"wp-image-1331\" style=\"width:339px;height:auto\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ready_to_put_your_nursing_knowledge_to_the_test\"><\/span><em>Ready to put your nursing knowledge to the test?<\/em><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Explore the&nbsp;<strong><a href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-smarter-prep-better-results\" target=\"_blank\" rel=\"noreferrer noopener\">NCLEX\u00ae Question of the Day: Smarter Prep, Better Results<\/a><\/strong>&nbsp;page to practice with NCLEX-style questions and boost your confidence before exam day.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If not treated,&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypothyroidism:_Nursing_Process_(ADPIE)\" target=\"_blank\" rel=\"noreferrer noopener\">hypothyroidism<\/a>&nbsp;can result in a serious complication called myxedema coma. This is a medical emergency where the body goes into a state of severe and profound slowing of metabolic processes, leading to cardiovascular collapse. This is usually triggered by acute stress like surgery, infection, and trauma, and presents with hypothermia, hypotension, metabolic abnormalities like&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Diabetes_mellitus:_Pathology_review\" target=\"_blank\" rel=\"noreferrer noopener\">hypoglycemia&nbsp;<\/a>and lactic acidosis, as well as worsening edema, seizures, impaired consciousness, and possibly coma. The nurse should prioritize maintaining airway patency prior to other interventions.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Hypothyroidism treatment medications ~pharmacology~\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/fliQs-og-Mk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Cover the client in a cooling blanket<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Clients diagnosed with myxedema coma present with&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Thermoregulation_:_Nursing\" target=\"_blank\" rel=\"noreferrer noopener\">hypothermia<\/a>, therefore, this intervention would not be applicable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Administer prescribed oral&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Medications_for_thyroid_disorders:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\">levothyroxine<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Although the nurse should plan to administer&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Medications_for_thyroid_disorders:_Nursing_Pharmacology\" target=\"_blank\" rel=\"noreferrer noopener\">levothyroxine<\/a>, it does not take priority over another intervention. In addition, clients diagnosed with myxedema coma will usually have intravenous (IV) levothyroxine prescribed instead of oral (PO) in case they lose consciousness.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Encourage the client to drink fluids<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale<\/strong>: Although fluid replacement is necessary to treat the hypotension associated with myxedema coma, the client should have intravenous (IV) fluids administered as this route has rapid effects and this condition is considered an emergency.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png?w=700\" alt=\"Osmosis sign up ad\" class=\"wp-image-411\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/31.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><figcaption class=\"wp-element-caption\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Which nursing intervention should be performed first for a client with myxedema coma to ensure airway safety and support breathing?<\/p>\n","protected":false},"author":279,"featured_media":1332,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[1902,369,1905,1903,1904,1419,1901,244,1029,370],"class_list":["post-1330","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-airway-management","tag-emergency-nursing","tag-high-fowlers","tag-hypothyroidism","tag-levothyroxine","tag-metabolic-disorders","tag-myxedema-coma","tag-nclex-rn","tag-nursing-care","tag-nursing-priorities"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - 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Can you\u2026","rel":"","context":"In &quot;Exam Prep&quot;","block_context":{"text":"Exam Prep","link":"https:\/\/www.osmosis.org\/blog\/category\/exam-prep"},"img":{"alt_text":"","src":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-cpap-masks.webp","width":350,"height":200,"srcset":"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-cpap-masks.webp 1x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-cpap-masks.webp 1.5x, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/nclex-cpap-masks.webp 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/1330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/users\/279"}],"replies":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/comments?post=1330"}],"version-history":[{"count":7,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/1330\/revisions"}],"predecessor-version":[{"id":10040,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/posts\/1330\/revisions\/10040"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media\/1332"}],"wp:attachment":[{"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/media?parent=1330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/categories?post=1330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.osmosis.org\/blog\/wp-json\/wp\/v2\/tags?post=1330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}