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Question ⬇

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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67. Which assessment findings should alert a nurse to the potential of an addisonian crisis in a client?
Select all that apply.

Choices

Choices ⬆ ⬇

1. Hyperglycemia and rapid and weak pulse.

2. Hypernatremia and hyperglycemia.

3. Cyanosis and weak pulse.

4. Hypoglycemia and hyponatremia.

5. Hypotension and pallor.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Look for the findings that describe the worst clinical picture—circulatory collapse.

Content Area: Adult Health, Endocrine; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Medical Emergencies

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Rationale ⬆

Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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3.  5.  

Answer 1 is incorrect because hyperglycemia would not be expected with adrenal hypofunction. Answer 2 is incorrect because these findings would be seen with Cushing's syndrome, not addisonian crisis. Answer 3 is correct because addisonian crisis is characterized by cyanosis and signs of circulatory collapse. Answer 4 is incorrect because this describes Addison's disease, not addisonian crisis. Answer 5 is correct because circulatory collapse occurs with addisonian crisis.

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