Correct Answer: C

Rationale: The excessive amounts of thyroid hormone cause a rapid increase in the metabolic rate, thereby causing the manifestations of thyroid storm such as fever, tachycardia, and hypertension. When these signs present themselves, the nurse must take quick action to prevent deterioration of the client's health because death can ensue. Priority interventions include maintaining a patent airway and stabilizing the hemodynamic status. The remaining options do not indicate the need for immediate nursing intervention nor are they associated with thyroid storm.

Correct Answer: C

Rationale: At 7 years, children typically enjoy social interaction and team games, reflecting their developmental stage of cooperative play.

Correct Answer: D

Rationale: Documenting the pacemaker rate, type, and settings is critical to ensure proper function and patient safety post-procedure. While cardiovascular status and sedation are important, the pacemaker specifics are the priority for verification.

Correct Answer: A

Rationale: Increased fremitus is expected in bacterial pneumonia due to lung consolidation.

Correct Answer: B

Rationale: Exenatide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.