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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

Explanation

Choice A rationale

A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.

Choice B rationale

Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.

Choice C rationale

Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.

Choice D rationale

Headache is a common side effect but not as urgent as oral thrush.

Correct Answer is A

Explanation

Choice A rationale

Gargling with water after using a beclomethasone inhaler helps prevent oral candidiasis (thrush), a common side effect of inhaled corticosteroids.

Choice B rationale

Using a spacer with a beclomethasone inhaler can help improve drug delivery to the lungs and reduce the risk of side effects. It is generally recommended to use a spacer with inhaled corticosteroids.

Choice C rationale

Beclomethasone is not a rescue inhaler and should not be used for acute incidents of shortness of breath. It is a maintenance medication used to control chronic asthma symptoms.

Choice D rationale

Albuterol should be used before beclomethasone to open the airways and enhance the absorption of the corticosteroid. Using beclomethasone first does not increase absorption and is not the recommended practice.

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