Endocrine (Addison and Cushing)

71. Which of the following is the best indicator for determining whether a client with Addison's disease is receiving the correct amount of glucocorticoid replacement? A. skin turgor B. temperature C. thirst D. daily weight

4. Daily weight

73. Which of the following is a priority outcome for the client with Addison's disease? a. maintenance of medication compliance b. avoidance of normal activities with stress c. adherance to a 2 g sodium diet d. prevention of hypertensive episodes

A. maintenance of medication compliance

59. Which of the expected finding in a client with addisonian crisis? A. Fluid retention B. Pain C. Peripheral edema D. Hunger

B. Pain

58. Which of the following is the priority for a client in Addisonian Crisis? A. Controlling hypertension B. Prevention irreversible shock C. Prevention infection D. Relieving anxiety

B. Prevenion irreversible shock Addison's disease is caused by a defiency of adrenal cortiosteroids and can result in severe hypotension and shock bc of uncontrolled loss of sodium in the urine and impaired mineralocorticoid function

67. Which of the following findings would be typical of Addison's disease? A. Hypokalemia B. Hypernatremia C. Hypoglycemia D. Decreased blood urea nitrogen (BUN) level

C. Hypoglycemia

64. When teaching a client newly diagnosed with primary Addison's disease, the nurse should explain that the disease results from A. insufficient secretion of growth hormone (GH) B. dysfunction of the hypothalalmic pituitary C. idiopathic atrophy of the adrenal gland D. Oversecrtion of the adrenal medulla

C. Idopathic atrophy of the adrenal gland

66. The nurse would expect the client with addison's disease to exhibit which of the following signs and symptoms? A. Weight gain B. Hunger C. Lethargy D. Muscle spasms

C. Lethargy

72. Which of the following signs and sypmtoms would probably indicate that the client with Addison's disease is receiving too much glucocortiocoid replacement? A. Anorexia B. Dizziness C. Rapid weight gain D. Poor skin turgor

C. rapid weight gain

70. Which statement should the nurse make when teaching the client about taking oral glucocortiocids? A. "Take your medication with a full glass of water." B. "Take your medication on an empty stomach." C. "Take your medication at bedtime to increase absorption." D. "Take your medication with meals or with an antacid."

D. "Take your medication with meals or with an antacid"