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?
Explanation & Rationale
A. Weigh the client daily: While daily weight monitoring is important for fluid balance, it is not the immediate priority in preventing Addisonian crisis. The focus should be on stabilizing the client's hormone levels. B. Administer oral corticosteroids: Addisonian crisis occurs due to an acute lack of cortisol. Administering corticosteroids is the most critical action, as it addresses the underlying adrenal insufficiency and helps stabilize the client. C. Restrict fluid intake: Fluid intake is generally not restricted in Addison's disease. In fact, clients are often encouraged to maintain adequate hydration, especially during a crisis, to prevent hypotension. D. Provide a low-carbohydrate diet: A low-carbohydrate diet is not recommended for clients with Addison's disease, as they need adequate glucose to manage stress. A balanced diet with appropriate carbohydrates is preferred to prevent hypoglycemia.