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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

BNP is used to diagnose heart failure, not to monitor gentamicin’s adverse effects.

Choice B rationale

Creatinine levels should be monitored as gentamicin can cause nephrotoxicity, leading to impaired kidney function.

Choice C rationale

Amylase levels are not relevant for detecting gentamicin’s adverse effects.

Choice D rationale

ESR is used to detect inflammation, not specific to gentamicin’s adverse effects.

Correct Answer is B

Explanation

Choice A rationale

Experiencing a rash while taking allopurinol is not harmless. It can be a sign of a serious allergic reaction, such as Stevens-Johnson syndrome or toxic epidermal necrolysis.

Choice B rationale

Increasing fluid intake is crucial when taking allopurinol. It helps to prevent kidney stones and ensures that uric acid is effectively excreted from the body.

Choice C rationale

Increasing dietary fiber intake is not specifically related to the use of allopurinol. While fiber is beneficial for overall health, it does not directly impact the effectiveness or safety of allopurinol.

Choice D rationale

Taking one dose every hour until the pain subsides is incorrect and dangerous. Allopurinol should be taken as prescribed by a healthcare provider, typically once or twice daily.

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