Admission assessment data for a client on the telemetry unit includes the following: Reports of racing heart and nervousness that have occurred several times before. Telemetry monitor: sinus tachycardia Heart rate: 130/bpm Skin: warm and dry Eyes: appear bulging What is the most important initial nursing action?

Respuesta :

Answer:

The nurse should stand behind the client and palpate the cricothyroid area.

Explanation:

The client presents symptoms of hyperthyroidism, an autoimmune disease where the thyroid gland produces an excess of its hormone causing palpitations, bulging eyes, an increase in temperature, trembling hands, nervousness, panic attacks, insomnia, and weight loss.

When the thyroid gland overproduces the thyroid hormone, it increases its size. A nurse can check the size by palping the cricothyroid area, which is where the thyroid gland is.