A 38-year-old patient has been living with Addison's disease for many years and has achieved adequate symptom control through lifestyle modifications and drug therapy. However, the patient has now been admitted to the hospital in addisonian crisis
Which of the nurse's following assessment questions is most appropriate? A) "Have you been under an unusual amount of stress lately?"
B) "How would you describe your diet over the last few days?"
C) "When was the last time that you drank any alcohol?"
D) "Has your urine output been typical for the past few days?"
A
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Acute adrenal crisis, or addisonian crisis, is a life-threatening condition that occurs when Addison's disease is the underlying problem and the patient is exposed to minor illness or increased stress. Diet, alcohol use, and impaired urinary function are less likely contributors.
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