An older adult with known hypothyroidism is found lethargic, hypothermic, bradycardic, and hypoventilating. What is the nurse’s priority?

Question

Accepted Answer

B. Secure airway/ventilation and administer thyroid hormone as ordered — Myxedema coma is life-threatening hypothyroidism with respiratory depression and hypothermia. Prioritize ABCs and supportive care, then thyroid hormone replacement per provider orders.

Answer

A. Provide warm blankets only

Answer

C. Give a stimulant to increase heart rate

Answer

D. Encourage ambulation to raise body temperature