NCLEX RN Practice Question # 551
NCLEX Examination.
Practice Question # 551.
Nclex
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