Practice Question
The nurse cares for a client with Addison's disease.
Answer Choices:
Correct Answer:
Hydrocortisone 200 mg IV
Rationale:
🔷 Addisonian crisis risk – The client with Addison’s disease presenting with vomiting, diarrhea, and inability to take oral medications is at high risk for adrenal crisis due to acute cortisol deficiency. Immediate glucocorticoid replacement is the priority.
🔷 Hydrocortisone is the drug of choice – It provides both glucocorticoid and mineralocorticoid effects, correcting hypotension, electrolyte imbalance, and hypoglycemia that accompany adrenal crisis.
🔷 Prevents life-threatening complications – Without prompt hydrocortisone administration, the client may develop shock, severe hyponatremia, hyperkalemia, and hypoglycemia, which can be fatal.
🔷 IV route is essential – Because the client is NPO and vomiting, oral replacement is ineffective. IV administration ensures rapid therapeutic action.
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This question is from RN Medical Surgical-Summer 2025 which contains 67 questions.
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Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Medical-Surgical
- Answer Choices: 4