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
Choice A reason: Daily weight monitoring is essential in Addison’s disease because fluid balance is a critical concern. Addisonian crisis involves severe hypotension, dehydration, and electrolyte imbalances due to cortisol and aldosterone deficiency. Monitoring weight helps detect fluid loss or retention early, guiding treatment. This is the correct answer. Choice B reason: Administering oral diuretics would worsen dehydration and hypotension in Addison’s disease. Diuretics increase fluid and electrolyte loss, which is dangerous in a client already at risk for adrenal crisis. Choice C reason: Restricting fluid intake is inappropriate because clients with Addison’s disease are prone to dehydration. Adequate fluid intake is necessary to maintain blood pressure and prevent crisis. Restriction would increase the risk of hypovolemia. Choice D reason: A low-carbohydrate diet is not recommended. Clients with Addison’s disease often require adequate carbohydrate intake to prevent hypoglycemia, as cortisol deficiency impairs glucose regulation. Restricting carbohydrates could worsen hypoglycemia.