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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Cervical cancer screening is recommended for individuals with a cervix starting at age 21, not necessarily for detecting colorectal cancer. It's an essential screening but irrelevant to middle-aged clients discussing colorectal cancer risk.
Choice B rationale
Lung cancer screening is mainly for people with a history of heavy smoking. Discussing lung cancer screening with a doctor is vital, but it does not address the early detection of colorectal cancer for average-risk individuals.
Choice C rationale
The previous recommendation was to start colorectal cancer screening at age 50. However, guidelines have updated, and this age is now considered outdated for average-risk individuals.
Choice D rationale
Colorectal cancer screening for everyone beginning at age 45 aligns with the latest American Cancer Society guidelines. This change reflects evidence showing the benefit of earlier screening to detect and prevent colorectal cancer in average-risk adults.
Correct Answer is A
Explanation
Choice A rationale
Monitoring the client’s hydration status is critical for older adults, especially those on a medical-surgical unit, to prevent dehydration, which can lead to serious complications such as renal impairment, confusion, and electrolyte imbalance.
Choice B rationale
Encouraging physical activities is beneficial but is not always feasible or safe for all older clients, especially those with certain medical conditions or mobility limitations.
Choice C rationale
Administering medications as prescribed is essential but is a standard practice for all clients and not specific to older adults' unique needs.
Choice D rationale
Educating the client on dietary needs is important but secondary to monitoring hydration, which addresses more immediate physiological needs and complications.
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