What should the nurse explain to a client with Addison disease as ...

[EY67]

What should the nurse explain to a client with Addison disease as the reason for needing mineralocorticoid replacement therapy?
 
  1. Mineralocorticoids will reduce excessive serum glucose levels.
  2. Mineralocorticoids will mimic the action of cortisol.
  3. Mineralocorticoids will mimic the action of aldosterone.
  4. Mineralocorticoids will reduce harmful bronzing of the skin.

Question 2

The nurse would question the administration of mineralocorticoid replacement therapy for which client?
 
  1. Client with a defect in the stimulation of aldosterone secretion
  2. Client with a defect in aldosterone sensitivity
  3. Client with a defect in the secretion of aldosterone
  4. Client with Conn syndrome

[pratush dev]

Answer to Question 1

Correct Answer: 3
Rationale 1: This is not an indication for use of mineralocorticoids.
Rationale 2: Mineralocorticoids do not mimic the action of cortisol.
Rationale 3: Mineralocorticoids, in addition to glucocorticoids, are indicated for use in clients with adrenocortical insufficiency.
Rationale 4: Bronzing of the skin would not be affected by the use of mineralocorticoids, and is not harmful to clients with Addison disease.
Global Rationale: Mineralocorticoids, in addition to glucocorticoids, are indicated for use in clients with adrenocortical insufficiency. They do not mimic the action of cortisol or affect the bronzing of the skin. Serum glucose levels are not affected.

Answer to Question 2

Correct Answer: 4
Rationale 1: This client should receive mineralocorticoid replacement.
Rationale 2: This client should receive mineralocorticoid replacement.
Rationale 3: This client should receive mineralocorticoid replacement.
Rationale 4: A client with Conn syndrome already has oversecretion of aldosterone and does not require mineralocorticoid replacement therapy.
Global Rationale: A client with Conn syndrome already has oversecretion of aldosterone and does not require mineralocorticoid replacement therapy. Mineralocorticoid replacement is used to treat the other conditions.