The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

Events requiring steroid dose adjustments.

Need to check temperature daily.

Importance of recording daily weights.

Adherence to a high fiber, low fat diet.

Answer and Explanation

The Correct Answer is A

A.   Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B.   Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C.   While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.

D.   Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.

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Correct Answer is A

Explanation

A. Bringing a sterile chest drainage unit from central supply is a task that does not require clinical judgment and is suitable for a UAP.
B. Calling the pharmacy involves understanding and communication about medications, which should be handled by licensed staff.
C. Observing a client's gait to determine the need for assistance involves assessment and clinical judgment, which is beyond the UAP's scope.

D. Evaluating a client's urinary catheter for proper drainage requires assessment skills that are within the scope of licensed nurses.

A. Initiate toileting schedule. B. Monitor for signs of anemia. C. Encourage intake of high potassium foods. D. Provide perineal skin barrier cream.

Correct Answer is B

Explanation

A. A toileting schedule is unnecessary for an anuric client as they do not produce urine.
B. Anemia is a common complication of chronic kidney disease due to reduced erythropoietin production, so monitoring for signs of anemia is important.
C. High potassium foods should be avoided as impaired kidney function can lead to hyperkalemia.
D. While perineal skin care is important, it is not as critical as monitoring for anemia in this context.

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The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

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Naxlex Comprehensive Predictor Exams

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