When caring for a client with Addison disease, the nurse will ...

[09madisonrousseau09]

When caring for a client with Addison disease, the nurse will prepare to administer which medication as the treatment of choice?
 
  1. Ketoconazole (Nizoral)
  2. Cosyntropin (Cortrosyn)
  3. Hydrocortisone
  4. Fludrocortisone (Florinef)

Question 2

What is an expected assessment finding in a client recently started on fludrocortisone (Florinef)?
 
  1. +4 peripheral edema
  2. Decrease in weight
  3. Increase in blood pressure
  4. Increase in height

[meganlapinski]

Answer to Question 1

Correct Answer: 3
Rationale 1: Ketoconazole (Nizoral) is not the treatment of choice for Addison disease.
Rationale 2: Cosyntropin (Cortrosyn) is not the treatment of choice for Addison disease.
Rationale 3: Hydrocortisone is the treatment of choice for Addison disease.
Rationale 4: Fludrocortisone is not the treatment of choice for Addison disease.
Global Rationale: Hydrocortisone is the treatment of choice for Addison disease. The remaining medications have different indications.

Answer to Question 2

Correct Answer: 3
Rationale 1: +4 peripheral edema is an unexpected finding, and should be reported immediately.
Rationale 2: A decrease in weight is not an expected assessment finding.
Rationale 3: A mild-to-moderate increase in blood pressure would be expected.
Rationale 4: No change in height would be expected.
Global Rationale: A mild-to-moderate increase in blood pressure would be expected. Peripheral edema, weight decrease and height change are not expected.

[09madisonrousseau09]

Excellent

[rachel]

TYSM