A nurse is caring for a client who has Addison’s disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Weigh the client daily.

Restrict food intake.

Administer oral corticosteroids.

Provide a low carbohydrate diet.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Weigh the client daily: While monitoring weight is important for clients with Addison’s disease, it is not the primary action to prevent an Addisonian crisis. Daily weight monitoring helps track fluid balance and detect any sudden changes that might indicate complications, but it does not directly address the hormonal imbalance that characterizes Addisonian crisis.

Choice B Reason:

Restrict food intake: Restricting food intake is not recommended for clients with Addison’s disease. Proper nutrition is crucial for maintaining energy levels and overall health. Clients with Addison’s disease need a balanced diet to manage their condition effectively. Restricting food intake could lead to malnutrition and exacerbate symptoms.

Choice C Reason:

Administer oral corticosteroids: This is the correct action. Addison’s disease is characterized by insufficient production of cortisol and aldosterone by the adrenal glands. Administering oral corticosteroids helps replace the deficient hormones and manage the symptoms of Addison’s disease. During an Addisonian crisis, immediate administration of corticosteroids is critical to prevent severe complications such as shock, coma, or even death.

Choice D Reason:

Provide a low carbohydrate diet: A low carbohydrate diet is not specifically recommended for clients with Addison’s disease. Instead, a balanced diet that includes adequate carbohydrates, proteins, and fats is essential. Carbohydrates are important for maintaining energy levels, especially since clients with Addison’s disease may experience fatigue and weakness. Restricting carbohydrates could lead to low blood sugar levels, which can be dangerous for these clients.

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Correct Answer is ["31"]

Explanation

Step 1: Calculate the total infusion time in minutes.

8 hours × 60 minutes/hour = 480 minutes

Result at each step = 480 minutes

Step 2: Calculate the total number of drops to be infused.

1,000 mL × 15 drops/mL = 15,000 drops

Result at each step = 15,000 drops

Step 3: Calculate the infusion rate in drops per minute.

15,000 drops ÷ 480 minutes = 31.25 drops/minute

Result at each step = 31.25 drops/minute

Step 4: Round to the nearest whole number if necessary.

31.25 drops/minute rounds to 31 drops/minute

Result at each step = 31 drops/minute

Therefore, the nurse should run the IV infusion at a rate of 31 drops per minute.

A. A pulse of 86 beats/minute B. Hypoactive bowel sounds in all 4 quadrants C. Blood pressure of 110/70 mm Hg D. Increasing restlessness

Correct Answer is D

Explanation

Choice A Reason:

A pulse of 86 beats per minute is within the normal range for adults (60-100 beats per minute) and does not typically indicate a postoperative complication. While it is important to monitor vital signs, this pulse rate alone is not concerning unless accompanied by other abnormal findings.

Choice B Reason:

Hypoactive bowel sounds in all four quadrants can occur after surgery due to the effects of anesthesia and the surgical procedure itself. While it is important to monitor bowel sounds, hypoactivity is not immediately concerning unless it persists or is accompanied by other symptoms such as abdominal pain or distention. Therefore, this finding alone does not indicate an evolving complication.

Choice C Reason:

A blood pressure of 110/70 mm Hg is within the normal range for adults and does not typically indicate a postoperative complication. Blood pressure should be monitored regularly, but this reading alone is not concerning unless there are significant changes or other abnormal findings.

Choice D Reason:

Increasing restlessness is a concerning sign in the immediate postoperative period. It can indicate several potential complications, including pain, hypoxia, or the onset of delirium. Restlessness may also be an early sign of shock or other serious conditions that require prompt intervention. Therefore, this symptom warrants further assessment and immediate attention to determine the underlying cause and provide appropriate treatment.

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A nurse is caring for a client who has Addison’s disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Exhibits You retrieved regular insulin 100 units in 1 ml. How many ml should you administer? Note Enter ONLY the number DO NOT enter the unit(s) of measurement

Correct Answer is ["31"]

Explanation

The nurse is monitoring the status of a postoperative client in the immediate postoperative period. The nurse would become most concerned with which sign that could indicate an evolving complication?

Correct Answer is D

Explanation

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