The nurse is caring for a school-age child with hyperthyroidism (Graves' disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)

The correct answer is choice D. Give small amounts of favorite fluids frequently to prevent dehydration.

Choice A rationale:

Having the child wear heavy clothing to prevent chilling is not an appropriate nursing intervention for an infant with an elevated temperature. Infants are more susceptible to temperature regulation issues, and heavy clothing could exacerbate their discomfort and potentially raise their body temperature further.

Choice B rationale:

Giving tepid water baths to reduce fever is not recommended for fever management in infants. Tepid baths might cause discomfort and shivering, which could lead to increased heat production and potential elevation of body temperature.

Choice C rationale:

Encouraging food intake to maintain caloric needs is important, but it might not be well-tolerated by an infant with an elevated temperature and upper respiratory tract infection. Infants often have reduced appetite during illness.

Choice D rationale:

Giving small amounts of favorite fluids frequently to prevent dehydration is an appropriate nursing intervention. Fever and elevated temperature can lead to increased fluid loss through sweating and increased respiratory rate. Offering small, frequent fluid intake helps maintain hydration and prevent dehydration. Using favorite fluids can also encourage the child to drink more.

The correct answer is choice C. Decreased oxygen-carrying capacity of blood.

Choice A rationale:

Anemia does not primarily result in a depressed hematopoietic system. In fact, anemia often occurs due to various factors that affect red blood cell production or lifespan. The hematopoietic system can be overactive in response to anemia, attempting to compensate for the reduced oxygen-carrying capacity of the blood.

Choice B rationale:

While some anemias may involve the presence of abnormal hemoglobin (e.g., sickle cell anemia), this is not the primary result of anemia. The primary consequence of anemia is a decreased ability of the blood to carry oxygen to the body's tissues.

Choice C rationale:

The correct choice. Anemia leads to a decreased oxygen-carrying capacity of the blood. Hemoglobin, the protein in red blood cells responsible for carrying oxygen, is reduced in quantity or function in various types of anemia. This results in inadequate oxygen delivery to tissues, potentially causing symptoms such as fatigue, weakness, pallor, and shortness of breath.

Choice D rationale:

Increased blood viscosity is not a primary result of anemia. Anemia tends to reduce blood viscosity because there are fewer red blood cells and less hemoglobin present, which makes the blood more fluid and less viscous. Increased blood viscosity is more commonly associated with conditions like polycythemia, where there is an excess of red blood cells.