A patient with Addison disease becomes severely weak, hypotensive and confused after gastroenteritis. Which treatment should the nurse anticipate urgently?
Correct answer: A. Intravenous hydrocortisone with isotonic fluid replacement
- A. Intravenous hydrocortisone with isotonic fluid replacement
- B. Fluid restriction with a low-sodium diet
- C. Insulin infusion with potassium restriction
- D. Levothyroxine with oral calcium supplements
Explanation
These findings suggest an adrenal crisis caused by inadequate cortisol and aldosterone, with shock risk from hypovolaemia. Urgent glucocorticoid replacement and isotonic fluids support circulation; fluid restriction and thyroid replacement do not treat the crisis.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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