A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Administer oral corticosteroids.

Weigh the client daily.

Provide a low-carbohydrate diet.

Restrict fluid intake

Answer and Explanation

The Correct Answer is B

A. Administering corticosteroids is crucial during an Addisonian crisis but typically involves intravenous corticosteroids (not oral) during the crisis to quickly restore hormone levels. Oral corticosteroids are part of regular maintenance therapy but not an immediate intervention in the crisis.

B. Weighing the client daily is important to monitor for potential fluid loss, dehydration, or weight changes related to Addison's disease and Addisonian crisis. Clients with Addison’s disease may experience fluid and electrolyte imbalances, so daily weight tracking helps detect early signs of fluid shifts, which are critical in crisis prevention and management.

C. A low-carbohydrate diet is not recommended for clients with Addison’s disease, as they may need a balanced diet with sufficient carbohydrates to prevent hypoglycemia.

D. Fluid intake should not be restricted; rather, maintaining adequate hydration is vital. Clients in Addisonian crisis are often at risk for dehydration due to fluid losses and low aldosterone levels, making fluid replacement essential.

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Correct Answer is ["B","C","E"]

Explanation

A. Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B. Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C. Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D. Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E. Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.

A. Black American B. Hispanic/Latino C. Non-Hispanic White D. Asian American

Correct Answer is A

Explanation

A. Black Americans have a higher prevalence of diabetes mellitus compared to other racial/ethnic groups in the United States, and diabetes is a leading cause of end-stage renal disease.
B. While Hispanic/Latino individuals also have an increased risk of diabetes mellitus, it is less pronounced compared to Black Americans.
C. Non-Hispanic White individuals have a lower prevalence of diabetes mellitus compared to Black and Hispanic/Latino populations.
D. Asian Americans have a varied prevalence of diabetes mellitus depending on specific ethnicities within this group, but it is generally lower than in Black Americans.

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A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

Correct Answer is ["B","C","E"]

Explanation

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Correct Answer is A

Explanation

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