The client has been taking hydrocortisone (Cortef) for a month, and abruptly stops it. What will the best assessment by the nurse include?
1. Fatigue and anorexia
2. Hyperglycemia and depression
3. Dilated pupils and auditory hallucinations
4. Tachycardia and weight gain
Correct Answer: 1
Rationale 1: Glucocorticoids must be discontinued gradually. Abrupt withdrawal can result in acute lack of adrenal function. Fatigue and anorexia are signs of adrenal insufficiency.
Rationale 2: Hyperglycemia and depression are not signs of adrenal insufficiency.
Rationale 3: Dilated pupils and auditory hallucinations are not signs of adrenal insufficiency.
Rationale 4: Tachycardia and weight gain are not signs of adrenal insufficiency.
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