85. Which nursing intervention should a nurse complete first for a client experiencing addisonian crisis?
85. Which nursing intervention should a nurse complete first for a client experiencing addisonian crisis?
. Maintain a quiet, nonstressful environment.
. Take measures to avoid exertion by the client.
. Administer hormone replacement as prescribed.
. IV administration of fluid, glucose, and electrolytes.
Test-Taking Tip
When all options are correct, look for the choice that responds to a "crisis" and will produce an immediate response—fluid.
Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Implementation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is incorrect because the first priority is maintaining circulation, not a quiet environment. Answer 2 is incorrect because the first priority is maintaining adequate perfusion, not avoiding exertion. Answer 3 is incorrect because the inadequate perfusion must be corrected first. Answer 4 is correct because the client is at risk for shock.