NCLEX RN Practice Question # 551

NCLEX Examination.

Practice Question # 551.

Addison’s disease

Description

• Hyposecretion of adrenal cortex hormones (glucocorticoids and mineralocorticoids)
• Can be primary or secondary
• The condition is fatal if left untreated.

 Interventions

• Monitor vital signs, particularly blood pressure, weight, and intake and output.
• Monitor white blood cell (WBC) count, blood glucose, and potassium, sodium, and calcium levels.
• Administer glucocorticoid or mineralocorticoid medications as prescribed.
• Observe for addisonian crisis caused by stress, infection, trauma, or surgery.

Client education

• Avoid individuals with an infection.
• Diet: High protein and high carbohydrate, normal sodium intake
• Avoid strenuous exercise and stressful situations.
• Need for lifelong glucocorticoid therapy
• Avoid over-the-counter medications.
• Wear a Medic-Alert bracelet.
• Signs and symptoms of complications such as underreplacement and overreplacement of hormones