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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 D

Explanation

Choice A rationale

Sitagliptin is a DPP-4 inhibitor used to manage blood sugar levels in type 2 diabetes but does not specifically slow the progression of nephropathy.

Choice B rationale

Glipizide is a sulfonylurea that helps control blood sugar levels but does not have a direct effect on slowing nephropathy progression.

Choice C rationale

Metoprolol is a beta-blocker used to manage hypertension but does not specifically target nephropathy progression.

Choice D rationale

Losartan is an angiotensin II receptor blocker (ARB) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.

Correct Answer is B

Explanation

Choice A rationale

Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.

Choice B rationale

Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.

Choice C rationale

Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.

Choice D rationale

Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance. .

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