A client is admitted to the hospital with a diagnosis of ...

[acc299]

A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would monitor for which of the following problems associated with this disease? Select all that apply.
 
  1. Edema
  2. Obesity
  3. Syncope
  4. Hirsutism
  5. Hypotension
  6. Muscle weakness

Question 2

The nurse is checking a newborn's 1-minute Apgar score based on the following assessment.
 
  The heart rate is 160 beats/min; he has positive respiratory effort with a vigorous cry; his muscle tone is active and well-flexed; he has a strong gag reflex and cries with stimulus to the soles of his feet; his body is pink, with his hands and feet cyanotic. What is the newborn's 1-minute Apgar score? 1. 7
  2. 9
  3. 8
  4. 10

[diana chang]

Answer to Question 1

3, 5, 6

Rationale: Common manifestations of Addison's disease include postural hypotension from fluid loss, syncope, muscle weakness, anorexia, nausea and vomiting, abdominal cramps, weight loss, depression, and irritability. Syncope, obesity, and hirsutism do not occur with this disease.

Answer to Question 2

2

Rationale: The newborn has a score of 9 because his heart rate, respiratory effort, muscle tone, and reflex irritability all have a score of 2, with color having a score of 1 because of the acrocy-anosis.