MSN Client With Addison’s Disease Quiz 1

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| By Catherine Halcomb

Catherine Halcomb

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| Attempts: 13

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1/15 Questions

Which of the following is the priority for a client in addisonian crisis?
- Controlling hypertension.
- Preventing irreversible shock.
- Preventing infection.
- Relieving anxiety.

Msn Client With Addison’s Disease Quiz 1 - Quiz

2.

The client is receiving an I.V. infusion of 5% dextrose in normal saline running at 125 mL/ hour. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:
- Discontinue the infusion.
- Apply a warm soak to the site.
- Stop the flow of solution temporarily.
- Irrigate the needle with normal saline.
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3.

A client with Addison’s disease is admitted to the medical unit. The nurse diagnoses the client with Deficient fluid volume related to inadequate fluid intake and to fluid loss secondary to inadequate adrenal hormone secretion. As the client’s oral intake increases, which of the following fluids would be most appropriate?
- Milk and diet soda.
- Water and eggnog.
- Bouillon and juice.
- Coffee and milkshakes.
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4.

After stabilization of Addison’s disease, the nurse teaches the client about stress management. The nurse should instruct the client to:
- Remove all sources of stress from daily life.
- Use relaxation techniques such as music.
- Take antianxiety drugs daily.
- Avoid discussing stressful experiences.
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5.

When teaching a client newly diagnosed with primary Addison’s disease, the nurse should explain that the disease results from:
- Insufficient secretion of growth hormone (GH).
- Dysfunction of the hypothalamic pituitary.
- Idiopathic atrophy of the adrenal gland.
- Oversecretion of the adrenal medulla.
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6.

The nurse is conducting discharge education with a client newly diagnosed with Addison’s disease. Which information should be included in the client and family teaching plan? Select all that apply.
- Addison’s disease will resolve over a few weeks, requiring no further treatment.
- Avoiding stress and maintaining a balanced lifestyle will minimize risk for exacerbations.
- Fatigue, weakness, dizziness, and mood changes need to be reported to the physician.
- A medical identification bracelet should be worn.
- Family members need to be informed about the warning signals of adrenal crisis.
- Dental work or surgery will require adjustment of daily medication.
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7.

The nurse should assess a client with Addison’s disease for which of the following?
- Weight gain.
- Hunger.
- Lethargy.
- Muscle spasms.
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8.

A nurse is assessing a client with Addison’s disease. The nurse should review laboratory reports for which condition?
- Hypokalemia.
- Hypernatremia.
- Hypoglycemia.
- Decreased blood urea nitrogen (BUN) level.
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9.

Cortisone acetate (Cortone) and fludrocortisone acetate (Florinef Acetate) are prescribed as replacement therapy for a client with Addison’s disease. What administration schedule should be followed for this therapy?
- Take both drugs three times a day.
- Take the entire dose of both drugs first thing in the morning.
- Take all the fludrocortisone acetate and two thirds of the cortisone acetate in the morning, and take the remaining cortisone acetate in the afternoon.
- Take half of each drug in the morning and the remaining half of each drug at bedtime.
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10.

The nurse should tell the client to do which of the following when teaching the client about taking oral glucocorticoids?
- “Take your medication with a full glass of water.”
- “Take your medication on an empty stomach.”
- “Take your medication at bedtime to increase absorption.”
- “Take your medication with meals or with an antacid.”
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11.

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?
- Skin turgor.
- Temperature.
- Thirst.
- Daily weight.
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12.

The nurse is instructing a young adult with Addison’s disease how to adjust the dose of glucocorticoids. The nurse should explain that the client may need an increased dosage of glucocorticoids in which of the following situations?
- Completing the spring semester of school.
- Gaining 4 pounds.
- Becoming engaged.
- Undergoing a root canal.
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13.

Which of the following would be an expected finding in a client with adrenal crisis (addisonian crisis)?
- Fluid retention.
- Pain.
- Peripheral edema.
- Hunger.
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14.

The client’s wife asks the nurse whether the I.V. infusion is meeting her husband’s nutritional needs because he has vomited several times. The nurse’s response should be based on the knowledge that 1 L of 5% dextrose in normal saline solution delivers:
- 170 calories.
- 250 calories.
- 340 calories.
- 500 calories.
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15.

The client with Addison’s disease is taking glucocorticoids at home. Which of the following statements indicate that the client understands how to take the medication?
- “Various circumstances increase the need for glucocorticoids, so I will need to adjust the dosage.”
- “My need for glucocorticoids will stabilize and I will be able to take a predetermined dose once a day.”
- “Glucocorticoids are cumulative, so I will take a dose every third day.”
- “I must take a dose every 6 hours to ensure consistent blood levels of glucocorticoids.”
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Current Version
Apr 09, 2025

Quiz Edited by
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Apr 09, 2025

Quiz Created by
Catherine Halcomb

MSN Client with Addison’s Disease Quiz 1

Which of the following is the priority for a client in addisonian crisis?

Quiz Preview

The client is receiving an I.V. infusion of 5% dextrose in normal saline running at 125 mL/ hour. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:

After stabilization of Addison’s disease, the nurse teaches the client about stress management. The nurse should instruct the client to:

When teaching a client newly diagnosed with primary Addison’s disease, the nurse should explain that the disease results from:

The nurse is conducting discharge education with a client newly diagnosed with Addison’s disease. Which information should be included in the client and family teaching plan? Select all that apply.

The nurse should assess a client with Addison’s disease for which of the following?

A nurse is assessing a client with Addison’s disease. The nurse should review laboratory reports for which condition?

Cortisone acetate (Cortone) and fludrocortisone acetate (Florinef Acetate) are prescribed as replacement therapy for a client with Addison’s disease. What administration schedule should be followed for this therapy?

The nurse should tell the client to do which of the following when teaching the client about taking oral glucocorticoids?

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?

The nurse is instructing a young adult with Addison’s disease how to adjust the dose of glucocorticoids. The nurse should explain that the client may need an increased dosage of glucocorticoids in which of the following situations?

Which of the following would be an expected finding in a client with adrenal crisis (addisonian crisis)?

The client’s wife asks the nurse whether the I.V. infusion is meeting her husband’s nutritional needs because he has vomited several times. The nurse’s response should be based on the knowledge that 1 L of 5% dextrose in normal saline solution delivers:

The client with Addison’s disease is taking glucocorticoids at home. Which of the following statements indicate that the client understands how to take the medication?