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

Which of the following actions should the nurse take?

Monitor the child for fluid volume excess.

Place the child on a low-sodium diet.

Teach the parents about cortisol replacement therapy.

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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Correct Answer is D

Explanation

Choice A rationale
Diarrhea is not a typical adverse effect of radiation treatment for breast cancer; gastrointestinal symptoms are more common with abdominal or pelvic radiation.
Choice B rationale
Anorexia, or loss of appetite, can occur but is not as common as fatigue for clients undergoing radiation treatment.
Choice C rationale
Alopecia can occur with chemotherapy, but it is less common with radiation therapy unless the radiation is directed at the scalp.
Choice D rationale
Fatigue is a common and expected adverse effect of radiation therapy due to the body's response to treatment and tissue repair processes.

A. A raised rash across the nose and face. B. Hypothermia. C. Weight gain. D. Muscle hyperreflexia.

Correct Answer is A

Explanation

Choice A rationale
A raised rash across the nose and face, known as a butterfly rash, is a classic and distinctive manifestation of systemic lupus erythematosus (SLE), often exacerbated by sunlight exposure.
Choice B rationale
Hypothermia is not a common manifestation of SLE; patients more frequently experience fevers due to inflammation and immune system dysregulation.
Choice C rationale
Weight gain is not a typical direct manifestation of SLE; patients might experience weight changes due to medications or complications but not as a primary symptom.
Choice D rationale
Muscle hyperreflexia is not associated with SLE; neurological symptoms in SLE might include seizures or cognitive dysfunction, but not hyperreflexia.

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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?

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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?