After obtaining the information shown in the accompanying figure ...

[Engineer]

After obtaining the information shown in the accompanying figure regarding a patient with Addison's disease, which prescribed action will the nurse take first?
 
  a. Give 4 oz of fruit juice orally.
  b. Recheck the blood glucose level.
  c. Infuse 5 dextrose and 0.9 saline.
  d. Administer oxygen therapy as needed.

Question 2

Which information obtained by the nurse in the endocrine clinic about a patient who has been taking prednisone (Deltasone) 40 mg daily for 3 weeks is most important to report to the health care provider?
 
  a. Patient's blood pressure is 148/94 mm Hg.
  b. Patient has bilateral 2+ pitting ankle edema.
  c. Patient stopped taking the medication 2 days ago.
  d. Patient has not been taking the prescribed vitamin D.

[lorealeza]

Answer to Question 1

ANS: C
The patient's poor skin turgor, hypotension, and hyponatremia indicate an Addisonian crisis. Immediate correction of the hypovolemia and hyponatremia is needed. The other actions may also be needed but are not the initial action for the patient.

Answer to Question 2

ANS: C
Sudden cessation of corticosteroids after taking the medication for a week or more can lead to adrenal insufficiency, with problems such as severe hypotension and hypoglycemia. The patient will need immediate evaluation by the health care provider to prevent and/or treat adrenal insufficiency. The other information will also be reported, but does not require rapid treatment.

[Engineer]

Thank you

[lorealeza]

Happy to help you