A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis.

The client is lethargic.

Which of the following actions should the nurse take?

Provide a low-carbohydrate diet.

Weigh the client daily.

Administer oral corticosteroids.

Restrict fluid intake.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Providing a low-carbohydrate diet is not appropriate for a client in Addisonian crisis. Addisonian crisis requires immediate treatment with corticosteroids, not dietary changes.
Choice B rationale
Weighing the client daily is important for monitoring fluid balance, but it is not the primary action during an Addisonian crisis. The priority is to correct the hormonal imbalance.
Choice C rationale
Administering oral corticosteroids is crucial for treating Addisonian crisis. It helps replace the deficient adrenal hormones and manage the crisis effectively.
Choice D rationale
Restricting fluid intake is not recommended during an Addisonian crisis. Clients in crisis may need fluid replacement to manage dehydration and hypotension.

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Correct Answer is B

Explanation

Choice A rationale
Providing 1,000 mL of water every 12 hours is not directly related to preventing infection or other complications post-transplant.
Choice B rationale
Keeping blood pressure equipment in the client's room helps prevent cross-contamination and infection by not sharing equipment with other clients.
Choice C rationale
A negative airflow room is used for clients with airborne infections, not for those undergoing a stem cell transplant.
Choice D rationale
Monitoring vital signs every 8 hours is insufficient; more frequent monitoring is needed post-transplant to detect complications early.

A. The medication works by decreasing gastric acid secretions. B. The medication relieves nausea by slowing peristalsis. C. The medication works by relaxing gastric muscles. D. The medication relieves nausea by promoting gastric emptying.

Correct Answer is D

Explanation

Choice A rationale
Metoclopramide does not work by decreasing gastric acid secretions. It is not classified as an antacid or acid suppressant.
Choice B rationale
Metoclopramide does not relieve nausea by slowing peristalsis. In fact, it increases peristalsis, which helps move contents through the gastrointestinal tract more quickly.
Choice C rationale
Metoclopramide does not work by relaxing gastric muscles. Instead, it enhances the tone and motility of the gastrointestinal tract.
Choice D rationale
Metoclopramide relieves nausea by promoting gastric emptying. It increases the movement of the stomach and intestines, which helps reduce feelings of nausea and vomiting.

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A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis. The client is lethargic. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is D

Explanation

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A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis.

The client is lethargic.

Which of the following actions should the nurse take?