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.

Answer and Explanation

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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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Administering IV opioids can help manage the intense pain associated with frostbite, improving patient comfort during rewarming and recovery.
Choice B rationale
After rewarming, the extremity should be elevated, not lowered, to reduce edema by encouraging fluid return to the central circulation.
Choice C rationale
Immersing hands and feet in warm water is a crucial step in the rewarming process, which helps restore blood flow and prevent further tissue damage.
Choice D rationale
Elevating affected limbs after rewarming helps reduce edema and prevents further swelling and complications.
Choice E rationale
Tetanus prophylaxis is recommended in frostbite cases as frostbite injuries can break the skin, increasing the risk of tetanus infection. Hence, avoiding tetanus prophylaxis is incorrect.

A. "DIC is controllable with lifelong heparin usage.”. B. "DIC is caused by abnormal coagulation involving fibrinogen.”. C. "DIC is a genetic disorder involving a vitamin K deficiency.”. D. "DIC is characterized by an elevated platelet count.”.

Correct Answer is B

Explanation

Choice A rationale
DIC is not controllable with lifelong heparin usage. Heparin may be used to manage DIC, but it is not a permanent solution, and the underlying cause of DIC must be addressed.
Choice B rationale
DIC is caused by abnormal coagulation involving fibrinogen. It is characterized by widespread activation of the clotting cascade, leading to both clot formation and bleeding due to consumption of clotting factors and platelets.
Choice C rationale
DIC is not a genetic disorder involving a vitamin K deficiency. It is an acquired condition resulting from severe illnesses or injuries that trigger abnormal clotting and bleeding processes.
Choice D rationale
DIC is not characterized by an elevated platelet count. Instead, it involves thrombocytopenia due to the consumption of platelets in widespread clotting, leading to a decreased platelet count.

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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?

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Naxlex Comprehensive Predictor Exams

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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?