A nurse is caring for a child who has Addison's disease.
Which of the following actions should the nurse take?
Monitor the child for fluid volume excess.
Place the child on a low-sodium diet.
Teach the parents about cortisol replacement therapy.
Discuss the manifestations of hyperglycemia with the parents.
The Correct Answer is C
Choice A rationale
Monitoring for fluid volume excess is not typically a concern for children with Addison's disease, as they are more prone to fluid volume deficit due to adrenal insufficiency.
Choice B rationale
Placing the child on a low-sodium diet is inappropriate for Addison's disease, as these patients often need increased sodium intake due to their impaired ability to retain sodium.
Choice C rationale
Teaching the parents about cortisol replacement therapy is crucial in managing Addison's disease, as the condition involves adrenal insufficiency requiring hormone replacement to manage symptoms and prevent adrenal crisis.
Choice D rationale
Discussing the manifestations of hyperglycemia is not relevant, as Addison's disease is more commonly associated with hypoglycemia due to reduced cortisol production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Metabolic acidosis can occur in renal failure but is not directly linked to tumor lysis syndrome.
Choice B rationale
Elevated white blood cell count is not a primary contributor to renal failure in tumor lysis syndrome.
Choice C rationale
Crystallization of uric acid in the renal tubules can obstruct urine flow and cause acute renal failure, which is a direct pathophysiologic event in tumor lysis syndrome.
Choice D rationale
Hypocalcemia is a consequence of tumor lysis syndrome but does not directly cause renal failure.
Correct Answer is C
Explanation
Choice A rationale
Replacing the water in flower vases daily does not prevent infection for a client with neutropenia, as bacteria can still accumulate.
Choice B rationale
Humidifying the client’s room can increase the risk of mold growth, which is harmful to immunocompromised clients.
Choice C rationale
Serving cooked fruit minimizes the risk of infections from bacteria and fungi present on raw fruits, which is crucial for clients with low WBC counts.
Choice D rationale
Cleaning dentures in a denture cup does not significantly reduce infection risks for immunocompromised clients; proper mouth hygiene is essential but this practice alone is insufficient.
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