The nurse would question the administration of mineralocorticoid replacement therapy for which client?
1. Client with a defect in the stimulation of aldosterone secretion
2. Client with a defect in aldosterone sensitivity
3. Client with a defect in the secretion of aldosterone
4. Client with Conn syndrome
Correct Answer: 4
Rationale 1: This client should receive mineralocorticoid replacement.
Rationale 2: This client should receive mineralocorticoid replacement.
Rationale 3: This client should receive mineralocorticoid replacement.
Rationale 4: A client with Conn syndrome already has oversecretion of aldosterone and does not require mineralocorticoid replacement therapy.
Global Rationale: A client with Conn syndrome already has oversecretion of aldosterone and does not require mineralocorticoid replacement therapy. Mineralocorticoid replacement is used to treat the other conditions.
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