How is Addison disease treated and clinically managed?
Aggressive physical therapy
Lifelong hormone therapy with glucocorticoids and mineralocorticoids
Diuretics
Lifelong insulin treatment
The Correct Answer is B
Choice A reason: Aggressive physical therapy is not a treatment for Addison's disease. While physical therapy can be beneficial for certain conditions, it does not address the hormonal deficiencies that are characteristic of Addison's disease.
Choice B reason: Lifelong hormone therapy with glucocorticoids and mineralocorticoids is the standard treatment for Addison's disease. This involves taking medications to replace the hormones that the adrenal glands are not producing enough of, specifically glucocorticoids (such as hydrocortisone, prednisone, or dexamethasone) and mineralocorticoids (such as fludrocortisone). These medications help to maintain normal hormone levels in the body, manage symptoms, and prevent adrenal crises.
Choice C reason: Diuretics are not typically used as a primary treatment for Addison's disease. They are used to manage fluid balance and blood pressure in other conditions, but they do not replace the deficient hormones in Addison's disease.
Choice D reason: Lifelong insulin treatment is used for managing diabetes mellitus, not Addison's disease. Addison's disease involves adrenal hormone deficiencies, which are treated with hormone replacement therapy, not insulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Asking the patient why the wandering episodes have occurred might not be effective because patients with Alzheimer's disease often have memory and cognitive impairments that make it difficult for them to understand or articulate the reasons for their behavior. Additionally, it may not address the immediate safety concerns associated with wandering.
Choice B reason: Placing the patient in a room close to the nurse's station is a practical and effective measure to enhance patient safety. Proximity to the nurse's station allows for closer supervision and quicker response if the patient attempts to wander. This action helps prevent potential accidents and ensures that the patient receives timely interventions if needed. It is a proactive approach to managing the wandering behavior commonly seen in patients with Alzheimer's disease.
Choice C reason: Reorienting the patient several times daily is an important aspect of care for individuals with Alzheimer's disease, as it can help reduce confusion and anxiety. However, this alone may not be sufficient to prevent wandering. While reorientation is beneficial, the immediate safety of the patient requires additional measures, such as close supervision.
Choice D reason: Having the family bring in familiar items can provide comfort and a sense of security for the patient, which is important in managing Alzheimer's disease. Familiar objects may help reduce anxiety and agitation, but they do not directly address the safety concerns associated with wandering. This action should be part of a comprehensive care plan that includes measures to prevent wandering and ensure patient safety.
Correct Answer is ["B","C","E","F"]
Explanation
Choice A reason: The patient is alert and oriented x4. This indicates that the patient is fully aware of their surroundings and does not require follow-up for this finding.
Choice B reason: The patient reports nausea. Nausea can be a symptom of many underlying conditions, including gastrointestinal issues or medication side effects, and requires follow-up to determine the cause and provide appropriate treatment.
Choice C reason: The abdomen is tender to palpation. Abdominal tenderness can indicate inflammation, infection, or other abdominal pathology, which requires follow-up to identify the underlying cause and provide appropriate management.
Choice D reason: The patient is 60 years old. This is a demographic detail and does not indicate a medical condition requiring follow-up.
Choice E reason: The patient has dark amber urine. Dark amber urine can be an indication of dehydration or other underlying conditions that require follow-up to identify and address the cause.
Choice F reason: The patient's oral temperature is 102.4°F. A fever indicates the presence of an infection or other health issue that needs to be investigated and managed.
Choice G reason: The patient is voiding without difficulty. This indicates that there are no issues with urinary function, so no follow-up is required for this finding.
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