A nurse is caring for a child who has Addison's disease.
Which of the following actions should the nurse take?

Discuss the manifestations of hyperglycemia with the parents.

Teach the parents about cortisol replacement therapy.

Place the child on a low-sodium diet.

Monitor the child for fluid volume excess.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Discussing hyperglycemia manifestations is not specific to Addison's disease, as Addison's is characterized by hypoglycemia due to cortisol deficiency.

Choice B rationale

Teaching the parents about cortisol replacement therapy is essential in Addison's disease management. Cortisol deficiency is the primary issue, so educating on proper administration and monitoring is crucial.

Choice C rationale

Placing the child on a low-sodium diet is not recommended because Addison's disease often involves salt wasting, so adequate sodium intake is necessary.

Choice D rationale

Monitoring for fluid volume excess is more applicable to conditions like heart failure, not Addison's disease, which is associated with dehydration and hypovolemia.

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Correct Answer is D

Explanation

Choice A rationale

Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.

Choice B rationale

Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.

Choice C rationale

Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.

Choice D rationale

Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.

A. Obtain a prescription for supplemental oxygen. B. Obtain a prescription to administer intravenous fluids. C. Obtain a prescription to administer insulin. D. Obtain a prescription to check the client's glucose level.

Correct Answer is A

Explanation

Choice A rationale

Obtaining a prescription for supplemental oxygen is the first action as hypoxia must be corrected immediately to ensure adequate tissue oxygenation.

Choice B rationale

Obtaining a prescription to administer intravenous fluids is essential to address dehydration but is secondary to correcting hypoxia.

Choice C rationale

Obtaining a prescription to administer insulin is crucial to manage hyperglycemia in diabetic ketoacidosis but not the initial step in this context.

Choice D rationale

Obtaining a prescription to check the client's glucose level is necessary for monitoring but does not address the immediate need for oxygenation.

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A nurse is caring for a child who has Addison's disease.Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Which of the following actions should the nurse take?