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A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?

Monitor serum electrolytes

Monitor for signs of shock.

Monitor daily weights

Monitor Intake and output

Answer and Explanation

The Correct Answer is B

A. While monitoring serum electrolytes is important, it is secondary to assessing for immediate life-threatening conditions.

B. Monitoring for signs of shock is the priority, as Addisonian crisis can lead to severe hypotension and shock, which requires immediate intervention.

C. Monitoring daily weights can help assess fluid status but is not critical in the context of an impending crisis.

D. Monitoring intake and output is important for overall assessment but does not directly address the immediate risks associated with Addisonian crisis.

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A. A 19-year-old male on low dose steroids for a week B. A 35-year-old female who completed 3 weeks of steroids. C. An 80-year-old female who takes steroids daily. D. A 45-year old male with COPD who uses intermittent steroids.

Correct Answer is C

Explanation

A. A short-term, low-dose steroid use (one week) has minimal risk for adrenal suppression.

B. Three weeks of steroids increases risk, but daily use presents a higher risk.

C. Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HPA) axis.

D. Intermittent steroid use is less likely to cause adrenal insufficiency compared to daily long-term use.

A. Major effects on the metabolism of almost all organs of the body B. Fluid and electrolyte balance C. Regulate carbohydrate and protein metabolism D. The release of the ACTH from the anterior lobe of the pituitary gland

Correct Answer is B

Explanation

A. While hormones from the adrenal cortex do influence various metabolic processes, mineralocorticoids primarily focus on fluid and electrolyte balance rather than having major effects on all organs' metabolism.

B. Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.

C. Regulation of carbohydrate and protein metabolism is mainly the function of glucocorticoids, not mineralocorticoids.

D. The release of ACTH is regulated by corticotropin-releasing hormone (CRH) from the hypothalamus, not directly influenced by mineralocorticoids.

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A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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Explanation

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A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?