In caring for a client with myxedema coma, which action is the priority for the nurse?

In the context of myxedema coma, which is a severe and life-threatening condition resulting from prolonged hypothyroidism, maintaining airway safety is of utmost importance. The priority for the nurse in this scenario is to ensure the client can maintain adequate ventilation and oxygenation.

Myxedema coma can lead to severe central nervous system depression, potentially resulting in decreased respiratory drive, bradycardia, and altered mental status. This can increase the risk for airway compromise, making it crucial for the healthcare provider to prepare for potential endotracheal intubation if the client's airway becomes compromised or if they exhibit severe hypoventilation.

While administering IV levothyroxine is essential to correct the underlying hormone deficiency in myxedema coma, managing the risk of airway obstruction or respiratory failure takes precedence. Therefore, preparing for possible intubation addresses the immediate threat to the client's safety and establishes a supportive measure while other treatments are initiated.