Which laboratory pattern is most consistent with primary Addison disease?

Correct answer: B. Low sodium and high potassium

  • A. High sodium and low potassium
  • B. Low sodium and high potassium
  • C. High calcium and low glucose only
  • D. Low sodium and low potassium

Explanation

Primary adrenal insufficiency causes deficient aldosterone, leading to sodium loss and potassium retention. Cortisol deficiency may also cause hypoglycaemia, weakness and hypotension, but the characteristic electrolyte pattern is low sodium with high potassium.

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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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