A client will soon begin long-term treatment with hydrocortisone after being diagnosed with Addison's disease. In order to mitigate the potential adverse effect of this treatment regimen, the nurse should encourage the client to increase the intake of what nutrient?
Sodium
Potassium
Calcium
Water
The Correct Answer is A
Hydrocortisone is a synthetic form of the hormone cortisol, which is produced by the adrenal glands. Addison's disease is a condition in which the adrenal glands do not produce enough cortisol and other hormones. Treatment with hydrocortisone is a lifelong therapy that replaces the missing hormones.
One of the potential adverse effects of long-term treatment with hydrocortisone is the development of sodium depletion or hyponatremia. This occurs because hydrocortisone can increase the excretion of sodium in the urine, leading to low levels of sodium in the blood.
To mitigate this potential adverse effect, the nurse should encourage the client to increase their intake of sodium. This can be done through dietary sources such as adding more salt to their food or drinking sports drinks that contain electrolytes. The client should also be monitored closely for signs of sodium depletion, such as weakness, fatigue, and confusion.
It is also important to note that long-term treatment with hydrocortisone can increase the risk of other adverse effects, such as osteoporosis, hyperglycemia, and infection. The nurse should educate the client on these potential adverse effects and encourage them to follow their healthcare provider's instructions for monitoring and management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Ibuprofen does not typically interact with calcium citrate to decrease its effects. Instead, ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and, with long-term use, may affect kidney function.
B: Hydrochlorothiazide is a diuretic that can lead to increased calcium levels in the blood. It does not decrease the effects of calcium citrate; rather, it could potentially cause hypercalcemia if used concurrently with calcium supplements.
C: Diltiazem is a calcium channel blocker used to treat hypertension and angina. While it affects calcium channels in the heart and blood vessels, it does not typically interact with calcium citrate supplements to decrease their effectiveness.
D: Prednisone is a corticosteroid that can decrease calcium absorption and increase calcium excretion, leading to lower bone density. Long-term use of prednisone can lead to osteoporosis, making it counterproductive when taken with calcium citrate for bone health.
Correct Answer is C
Explanation
Menotropins, also known as human menopausal gonadotropin (hMG), are a hormone treatment commonly used in infertility treatment. They contain both follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the growth and maturation of follicles in the ovaries and the release of eggs during ovulation. This treatment is often used in women who are not ovulating regularly or who have other fertility problems. Somatotropin is used to treat growth hormone deficiency, thyrotropin alfa is used to treat thyroid cancer, and pegvisomant is used to treat acromegaly.
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