Which finding indicates to the nurse that the current therapies are effective for patient with acute adrenal insufficiency (Addison's)?
Increasing serum sodium levels.
Decreasing serum chloride levels
Decreasing blood glucose levels
Increasing serum potassium levels
The Correct Answer is A
In acute adrenal insufficiency, also known as Addison's disease, the adrenal glands are unable to produce enough cortisol and aldosterone hormones. These hormones play an important role in regulating sodium and potassium levels in the body. Therefore, a patient with acute adrenal insufficiency may have low sodium and high potassium levels in their blood.
The goal of therapy is to replace the deficient hormones and normalize the electrolyte levels in the body. If the current therapies are effective, the nurse would expect to see an increase in the patient's serum sodium levels because of aldosterone replacement therapy. Therefore, option a is the correct answer.
Decreasing serum chloride levels and decreasing blood glucose levels are not directly related to the treatment of acute adrenal insufficiency. In fact, a patient with acute adrenal insufficiency may have low serum chloride levels and low blood glucose levels due to the lack of cortisol hormone.
Increasing serum potassium levels would be an indicator of ineffective treatment or inadequate aldosterone replacement therapy, as aldosterone helps to regulate potassium levels in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Answer c is incorrect because hyperthyroidism typically causes hypertension, not hypotension. Answer d is also incorrect because hyperthyroidism typically causes increased, not decreased, deep tendon reflexes. Answer f is incorrect because hyperthyroidism typically causes diarrhea, not constipation.

Correct Answer is ["A","C","D"]
Explanation
Option b is not entirely correct because while bulk-forming laxatives contain fiber, they may not always be the best source of fiber, and their use should be individualized according to the patient's needs.
Option e is incorrect because while stimulants and saline laxatives can be effective for occasional constipation, they should not be used regularly or for an extended period without medical supervision as they can lead to dependence and other complications.

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