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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 B

Explanation

Choice A rationale

Decreased excretion of urine sodium is not an expected therapeutic effect of bumetanide. Bumetanide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle, leading to increased excretion of sodium and water.

Choice B rationale

Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes, which helps reduce fluid accumulation in conditions like ascites.

Choice C rationale

Decreased serum glucose is not associated with bumetanide. Bumetanide primarily affects fluid and electrolyte balance and does not have a significant impact on blood glucose levels.

Choice D rationale

Increased blood pressure is not an expected effect of bumetanide. On the contrary, bumetanide can help lower blood pressure by reducing fluid volume and decreasing the workload on the heart.

Correct Answer is C

Explanation

Choice A rationale

Ipratropium inhalers can potentially increase heart rate and blood pressure, but this is not a common side effect. The concern about high blood pressure is valid but not as critical as an allergy to atropine.

Choice B rationale

Using albuterol with ipratropium is common practice for managing bronchospasm. There is no contraindication for using both medications together.

Choice C rationale

An allergy to atropine is significant because ipratropium is chemically related to atropine. This could lead to a severe allergic reaction.

Choice D rationale

There are no known interactions between ipratropium and alcohol. However, it is always best to consult with a healthcare provider regarding alcohol consumption while on medication.

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