An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?

Static levels of serum cortisol

Blood glucose <70 mg/dL (3.80 mmol/L)

Decreased serum sodium levels

Elevated cortisol levels

Answer and Explanation

The Correct Answer is D

would rule out a diagnosis of adrenal insufficiency after a short plasma corticotropin (ACTH) stimulation test. In this test, a synthetic form of ACTH is given to stimulate the adrenal glands to produce cortisol. If the adrenal glands are functioning normally, they should produce an increased amount of cortisol in response to the ACTH. Therefore, if the client has elevated cortisol levels after the test, it would indicate that their adrenal glands are functioning properly and ruling out adrenal insufficiency.

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Correct Answer is D

Explanation

A. Weekly – This frequency is too frequent for dosage adjustments of levothyroxine. Adjustments are generally made less frequently to allow for the medication to reach therapeutic levels.

B. Monthly – While some adjustments may be made on a monthly basis, this is not the typical recommendation.

C. Every 3 to 5 days – This is also too frequent for dosage adjustments as it may not allow enough time to assess the effects of the current dose.

D. Every 4 to 6 weeks – This is the correct recommendation for adjusting levothyroxine dosages. After starting therapy or adjusting the dose, it is advised to wait 4 to 6 weeks before evaluating thyroid function tests and making any further adjustments to the dosage, as it takes time for the medication to take effect.

A. It should be taken at least 30 minutes before or 2 hours after meals. B. It is best to take it with an antacid C. It should be taken before 09:00 each morning D. The best administration time is at bedtime.

Correct Answer is C

Explanation

Hydrocortisone is a glucocorticoid hormone that is usually prescribed for the treatment of Addison's disease, which is characterized by insufficient production of adrenal hormones. It is important to take hydrocortisone in the morning before 09:00 because this is when the body's natural cortisol levels are at their highest. Taking hydrocortisone at this time can help to mimic the body's natural cortisol production and prevent adrenal crisis. It should be taken with meals to reduce the risk of stomach upset.

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An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?

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Naxlex Comprehensive Predictor Exams

A client is started on levothyroxine for the treatment of hypothyroidism. During client teaching, the nurse indicates that the dosage may be increased how often until symptoms are relieved?

Correct Answer is D

Explanation

Hydrocortisone has been prescribed to a client for the treatment of Addison's disease What action should the nurse encourage the client to take regarding the selfadministration of this medication?

Correct Answer is C

Explanation

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An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?