A patient comes into the emergency department with symptoms of an Addisonian crisis. What should the nurse be prepared to administer to assist this patient?
1. Intravenous fluids
2. Warm blankets
3. Thyroid replacement hormone
4. Blood transfusion
1
Rationale 1: The patient with Addisonian crisis (hyposecretion of adrenal hormones) may have a high fever, weakness, abdominal pain, severe hypotension, circulatory collapse, shock, and coma. Treatment consists of rapid intravenous replacement of fluids and glucocorticoids.
Rationale 2: The patient experiencing an Addisonian crisis may have a high fever, so warm blankets would not promote comfort or a therapeutic effect.
Rationale 3: There is no thyroid hormone insufficiency.
Rationale 4: There are no indications the patient is in need of a blood transfusion.
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