A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis.
The client is lethargic.
Which of the following actions should the nurse take?
Provide a low-carbohydrate diet.
Weigh the client daily.
Administer oral corticosteroids.
Restrict fluid intake.
The Correct Answer is C
Choice A rationale
Providing a low-carbohydrate diet is not appropriate for a client in Addisonian crisis. Addisonian crisis requires immediate treatment with corticosteroids, not dietary changes.
Choice B rationale
Weighing the client daily is important for monitoring fluid balance, but it is not the primary action during an Addisonian crisis. The priority is to correct the hormonal imbalance.
Choice C rationale
Administering oral corticosteroids is crucial for treating Addisonian crisis. It helps replace the deficient adrenal hormones and manage the crisis effectively.
Choice D rationale
Restricting fluid intake is not recommended during an Addisonian crisis. Clients in crisis may need fluid replacement to manage dehydration and hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Dark stools are not a common side effect of chemotherapy; this symptom typically indicates gastrointestinal bleeding or iron supplements.
Choice B rationale
Flossing 4 times daily can cause gum irritation and bleeding, increasing the risk of infection in immunocompromised clients.
Choice C rationale
Administering an antiemetic before chemotherapy helps to prevent nausea and vomiting, improving the client's comfort and compliance with treatment.
Choice D rationale
Swishing with commercial mouthwash can irritate the mucous membranes; instead, using a gentle saline rinse is recommended.
Correct Answer is D
Explanation
Choice A rationale
A child with rheumatic fever could carry infectious agents that might pose a risk to a child with severe immunocompromise such as low WBC.
Choice B rationale
A child recovering from a ruptured appendix might have residual infection or be at higher risk of infection, which could be dangerous for a child with very low WBC count.
Choice C rationale
A child with cystic fibrosis has a risk of respiratory infections, posing a threat to a child with a compromised immune system like severe neutropenia.
Choice D rationale
A child with nephrotic syndrome does not typically carry infectious risks and would be a safer roommate for a child with a compromised immune system due to low WBC count.
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