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 ["A","B","C"]

Explanation

Choice A rationale:

Tenderness, redness, and swelling at the incision site can indicate an infection or transplant rejection, both of which require immediate medical attention to prevent further complications.

Choice B rationale:

Swelling in the lower extremities (edema) can be a sign of fluid retention, which may indicate kidney dysfunction or transplant rejection, necessitating prompt evaluation and intervention.

Choice C rationale:

Elevated blood pressure (180/90 mm Hg) can be a sign of transplant rejection, as the body may be responding to the new organ as a foreign object, leading to increased blood pressure.

A. Offer high-protein and high-carbohydrate foods frequently. B. Encourage oral intake of at least 3,000 mL of fluids per day. C. Administer low-flow oxygen continuously via nasal cannula. D. Place in a prone position.

Correct Answer is D

Explanation

Choice A rationale

High-protein and high-carbohydrate foods are beneficial, but they do not directly address the immediate respiratory issues in ARDS.

Choice B rationale

Encouraging oral intake of fluids may not be appropriate as it can contribute to fluid overload and worsen pulmonary edema in ARDS patients.

Choice C rationale

Administering low-flow oxygen might be necessary but isn't the most crucial intervention for ARDS. High-flow oxygen or mechanical ventilation is typically required.

Choice D rationale

Placing the client in a prone position has been shown to improve oxygenation in ARDS by enhancing lung expansion and ventilation-perfusion matching.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is D

Explanation

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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?