NursingPlex
    Sign In
    Ati 0926 beg med surg proctored exam

    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

    Rationale: A. Weigh the client daily: Daily weights are essential in Addison’s disease because sudden weight loss may indicate dehydration, and rapid weight gain may signal fluid retention from corticosteroid therapy. Monitoring weight closely helps detect imbalances early and prevent Addisonian crisis. B. Provide a low-carbohydrate diet: Clients with Addison’s disease require adequate carbohydrate intake since cortisol deficiency impairs glucose regulation. A low-carbohydrate diet could worsen hypoglycemia risk and is not recommended. C. Administer oral corticosteroids: During an Addisonian crisis, the client requires immediate IV corticosteroids, not oral. Oral medications are insufficient in emergencies because absorption is too slow to stabilize the client. D. Restrict fluid intake: Fluid restriction would worsen dehydration, which is already a major concern in Addisonian crisis due to sodium loss and volume depletion. Instead, fluids and electrolytes must be carefully replaced to stabilize the client.

    🔒 Submit your answer to reveal