A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Place the child on a low-sodium diet.

Monitor the child for fluid volume excess.

Discuss the manifestations of hyperglycemia with the parents.

Teach the parents about cortical replacement therapy.

Answer and Explanation

The Correct Answer is D

A.   Placing the child on a low-sodium diet is not a priority action for managing Addison's disease. Sodium restriction may be necessary in some cases, but it's not the primary intervention.
B.   Monitoring the child for fluid volume excess is not directly related to managing Addison's disease. Addison's disease often leads to hypovolemia due to decreased aldosterone secretion.
C.   Discussing manifestations of hyperglycemia may not be directly relevant to Addison's disease, which primarily affects cortisol and aldosterone levels, not glucose metabolism.
D.   Teaching the parents about cortical replacement therapy is crucial. Addison's disease results from adrenal insufficiency, and cortical replacement therapy, typically with glucocorticoids and mineralocorticoids, is the mainstay of treatment.

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Correct Answer is C

Explanation

A. Metabolic Acidosis, Uncompensated, is ruled out because the elevated PaCO2 and low pH indicate a respiratory problem rather than a metabolic one.
B. Respiratory Alkalosis. Partially Compensated is ruled out because the pH and PaCO2 levels are both abnormal and indicate acidosis rather than alkalosis.
C. The low pH (acidosis) along with the high PaCO2 indicate respiratory acidosis, and there is no evidence of compensation by the kidneys (normal HCO3).
D. Metabolic Alkalosis. Partially Compensated, is ruled out because the pH is low (acidosis) rather than high (alkalosis), and the PaCO2 is elevated, suggesting a respiratory problem rather than a metabolic one.

A. Hypomagnesemia B. Hypokalemia C. Hyperkalemia D. Hypermagnesemia

Correct Answer is B

Explanation

A. While electrolyte imbalances can occur in nephrotic syndrome, hypomagnesemia is not typically associated with corticosteroid therapy.
B. Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
C. Corticosteroid therapy is not typically associated with hyperkalemia.
D. Hypermagnesemia is not typically associated with nephrotic syndrome or corticosteroid therapy.

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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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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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