The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?
The need to match the daily steroid dose to immediate symptoms
The importance of monitoring liver function
The need for life-long steroid replacement
The possibility of extreme weight loss from use of corticosteroids
The Correct Answer is C
A. The need to match the daily steroid dose to immediate symptoms:
Explanation: Adjusting the steroid dose based on immediate symptoms is not a recommended approach. Patients should follow the prescribed regimen provided by their healthcare provider.
B. The importance of monitoring liver function:
Explanation: While monitoring liver function is important for some medications, it is not the primary focus when teaching about hormone replacement therapy in Addison's disease. The emphasis is on the need for life-long steroid replacement.
C. The need for life-long steroid replacement:
Explanation: Patients with Addison's disease require life-long steroid replacement therapy to compensate for the deficiency in adrenal hormones. It's important for the patient to understand that adherence to the prescribed steroid regimen is essential for maintaining health and preventing adrenal crisis.
D. The possibility extreme weight loss from the use of corticosteroids:
Explanation: While corticosteroids can have various side effects, extreme weight loss is not a typical or desired outcome of steroid therapy for Addison's disease. Weight changes and potential side effects should be discussed, but the emphasis should be on the importance of long-term steroid replacement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increase the intake of vitamin E to enhance absorption:
Explanation: Iron absorption can be enhanced by taking vitamin C, not vitamin E. Therefore, this statement is not accurate.
B. Iron will cause the stools to darken in color:
Explanation: This statement is accurate. Iron supplements can cause stools to become darker in color. This is a common and harmless side effect.
C. Take the iron with dairy products to enhance absorption:
Explanation: Calcium-containing foods and supplements can inhibit the absorption of iron. Therefore, it is recommended to avoid taking iron supplements with dairy products.
D. Limit foods high in fiber due to the risk for diarrhea:
Explanation: Iron supplements can cause constipation, not diarrhea. Therefore, limiting foods high in fiber is not necessary.
Correct Answer is B
Explanation
A. Increase the intake of vitamin E to enhance absorption:
While vitamin C can enhance iron absorption, vitamin E does not play a significant role in iron absorption. Vitamin C-rich foods can be advised to enhance iron absorption.
B. Iron will cause the stools to darken in color:
This statement is accurate. Iron supplements can cause stools to appear darker in color, often black or greenish-black. This change in stool color is normal and expected when taking iron supplements.
C. Take the iron with dairy products to enhance absorption:
Dairy products can inhibit iron absorption. It's better to take iron supplements with vitamin C-rich foods or orange juice to enhance absorption.
D. Limit foods high in fiber due to the risk for diarrhea:
Fiber-rich foods do not necessarily need to be limited when taking iron supplements. However, some individuals may experience constipation when taking iron supplements, in which case increasing fluid intake and dietary fiber can help alleviate constipation.
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