A client with a history of adrenocortical insufficiency is ...

[jazziefee]

A client with a history of adrenocortical insufficiency is experiencing nausea, vomiting, hypotension, and seizures. The nurse suspects the client discontinued which medication?
 
  1. Hydrocortisone
  2. Fluticasone propionate (Flonase)
  3. Cosyntropin (Cortrosyn)
  4. Methadone

Question 2

A client with adrenocortical insufficiency has been taking corticosteroids for 9 months. What symptom should be reported to the health care provider immediately?
 
  1. frequent palpitations
  2. headache
  3. nasal congestion
  4. fatigue

[LegendaryAnswers]

Answer to Question 1

Correct Answer: 1
Rationale 1: If a client with a history of adrenocortical insufficiency stops taking prescribed medications, the atrophied adrenal glands will not be able to secrete sufficient corticosteroids, and symptoms of adrenal crisis will appear.
Rationale 2: Fluticasone propionate (Flonase) does not cause adrenal crisis if withdrawn.
Rationale 3: Cosyntropin (Cortrosyn) does not cause adrenal crisis if withdrawn.
Rationale 4: Methadone does not cause adrenal crisis if withdrawn.
Global Rationale: If a client with a history of adrenocortical insufficiency stops taking prescribed medications, the atrophied adrenal glands will not be able to secrete sufficient corticosteroids, and symptoms of adrenal crisis will appear. Fluticasone propionate (Flonase), cosyntropin (Cortrosyn) and methadone do not cause adrenal crisis if withdrawn.

Answer to Question 2

Correct Answer: 1
Rationale 1: Electrolyte changes are associated with long-term corticosteroid therapy. Frequent palpitations warrant further investigation.
Rationale 2: Headache does not need to be reported to the health care provider immediately.
Rationale 3: Nasal congestion does not need to be reported to the health care provider immediately.
Rationale 4: Fatigue does not need to be reported to the health care provider immediately.
Global Rationale: Electrolyte changes are associated with long-term corticosteroid therapy. Frequent palpitations warrant further investigation. Headache, nasal congestion, and fatigue do not necessarily require contact with the health care provider.

[jazziefee]

Thanks

[LegendaryAnswers]

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