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A nurse is caring for a child who has Addison's disease.

Which of the following actions should the nurse take?

A.

Monitor the child for fluid volume excess.

B.

Place the child on a low-sodium diet.

C.

Teach the parents about cortisol replacement therapy.

D.

Discuss the manifestations of hyperglycemia with the parents.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Monitoring for fluid volume excess is not typically a concern for children with Addison's disease, as they are more prone to fluid volume deficit due to adrenal insufficiency.
Choice B rationale
Placing the child on a low-sodium diet is inappropriate for Addison's disease, as these patients often need increased sodium intake due to their impaired ability to retain sodium.
Choice C rationale
Teaching the parents about cortisol replacement therapy is crucial in managing Addison's disease, as the condition involves adrenal insufficiency requiring hormone replacement to manage symptoms and prevent adrenal crisis.
Choice D rationale
Discussing the manifestations of hyperglycemia is not relevant, as Addison's disease is more commonly associated with hypoglycemia due to reduced cortisol production.
 


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Related Questions

Correct Answer is C

Explanation

Choice A rationale
A mutant BRCA1 gene is not associated with an increased risk of thyroid cancer. Thyroid cancer risk factors include radiation exposure and family history, but not the BRCA1 mutation.
Choice B rationale
The BRCA1 gene mutation does not increase the risk of Down syndrome in offspring. Down syndrome is related to chromosomal abnormalities, not the BRCA1 gene mutation.
Choice C rationale
The BRCA1 gene mutation significantly increases the risk of breast cancer, often at an early age. It is a key factor in hereditary breast cancer syndromes.
Choice D rationale
The BRCA1 gene mutation is not linked to an increased risk of Alzheimer's disease. Alzheimer's is associated with genetic factors like the APOE gene, not BRCA1.

Correct Answer is C

Explanation

Choice A rationale
Restricting activities that could result in bleeding is important for patients with thrombocytopenia, which is different from neutropenia; neutropenic precautions focus on infection prevention.
Choice B rationale
Restricting all visitors might be overly restrictive; instead, visitors should be screened for infections, and hand hygiene should be emphasized to prevent infection transmission.
Choice C rationale
Fresh flowers and potted plants can harbor bacteria and fungi that pose an infection risk to immunocompromised clients, such as those with neutropenia, making this restriction important.
Choice D rationale
Restricting oral fluid intake to between meals only is not necessary for managing neutropenia; maintaining good hydration is important, and there are no specific fluid timing restrictions.

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