A 38-year-old male patient is admitted to the hospital in Addisonian crisis. Which patient statement supports a nursing diagnosis of ineffective self-health management related to lack of knowledge about management of Addison's disease?
a. "I frequently eat at restaurants, and my food has a lot of added salt."
b. "I had the stomach flu earlier this week, so I couldn't take the hydrocortisone."
c. "I always double my dose of hydrocortisone on the days that I go for a long run."
d. "I take twice as much hydrocortisone in the morning dose as I do in the afternoon."
ANS: B
The need for hydrocortisone replacement is increased with stressors such as illness, and the patient needs to be taught to call the health care provider because medication and IV fluids and electrolytes may need to be given. The other patient statements indicate appropriate management of the Addison's disease.
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