A patient, diagnosed with Addison's disease, is admitted to the emergency department (ED) after spending the day at the lake. The patient is diaphoretic, weak and forgetful. Which intervention would be supportive for these S&S (signs and symptoms)?
Administer some insulin
Prepare the patient to receive a blood transfusion
Administer IV glucose
Collect some urine and assess for glucosuria
The Correct Answer is C
A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.
B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.
C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.
D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decrease osteoclastic activity: Osteoporosis treatments often focus on reducing osteoclastic activity, which is responsible for bone resorption, thereby helping to maintain or increase bone density.
B. Increase the kidneys' tubular secretion of calcium into the urine: This would decrease calcium levels in the body, which is not desired in osteoporosis treatment, as it would worsen bone density.
C. Increase resorption of calcium: Increasing bone resorption would exacerbate osteoporosis by weakening the bones further.
D. Suppress calcitonin: Calcitonin helps to inhibit bone resorption, so suppressing it would be counterproductive in treating osteoporosis.
Correct Answer is A
Explanation
A. There is an imbalance between the formation of new bone and the resorption of existing bone: Osteoporosis occurs when bone resorption outpaces bone formation, leading to decreased bone density and increased susceptibility to fractures.
B. An invasion of a pathogen leads to infection, causing destruction and weakening of the bone: This describes osteomyelitis, a bone infection, not osteoporosis.
C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells: This describes avascular necrosis, not osteoporosis.
D. Increased amounts of estrogen in postmenopausal women contribute to bone loss: In fact, decreased estrogen levels after menopause contribute to bone loss and osteoporosis.
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