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A nurse is caring for a client who has a new diagnosis of adrenal insufficiency. Which of the following prescriptions should the nurse anticipate from the provider?

A.

Phenytoin.

B.

Calcitonin.

C.

Buspirone.

D.

Fludrocortisone.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

 

Choice B rationale

 

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

 

Choice C rationale

 

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

 

Choice D rationale

 

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.


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View Related questions

Correct Answer is ["A","E"]

Explanation

Choice A rationale


Muscle weakness is a common symptom of hypokalemia due to decreased potassium levels affecting muscle function.


Choice B rationale


Hyperactive bowel sounds can indicate hypokalemia because potassium is essential for normal gastrointestinal motility. Low potassium levels can lead to increased activity in the intestines, resulting in hyperactive bowel sounds.

Choice C rationale


Tingling of fingers, or paresthesia, can be a symptom of hypokalemia, as low potassium levels may affect nerve conduction. This results in abnormal sensations like tingling or numbness.

Choice D rationale


Peaked T waves are more commonly associated with hyperkalemia rather than hypokalemia. Therefore, this option would not indicate hypokalemia. However, a nurse should be vigilant about monitoring potassium levels as both conditions can lead to significant cardiovascular effects.


Choice E rationale


Fatigue is another symptom of hypokalemia as low potassium levels can impair cellular function and energy production.

Correct Answer is ["C","E"]

Explanation

Choice A rationale

Monitoring glucose levels is not typically necessary for patients receiving gentamicin, as it does not significantly affect glucose metabolism.

Choice B rationale

Prothrombin time is not commonly affected by gentamicin, so routine monitoring is not required.

Choice C rationale

Serum creatinine levels should be monitored to assess kidney function, as gentamicin can cause nephrotoxicity.

Choice D rationale

Cardiac enzymes are not typically affected by gentamicin, so routine monitoring is not necessary.

Choice E rationale

Monitoring WBC count is important to detect any signs of infection or bone marrow suppression, which can occur with gentamicin use.

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