The nurse is assisting with discharge of a patient with Addison's disease following an addisonian crisis. Which instruction is most important for the nurse to reinforce?
a. The importance of taking steroid replacements as prescribed
b. How to monitor blood glucose levels
c. The need for a well-balanced diet
d. The importance of 30 minutes of exercise each day
ANS: A
Steroid replacements are essential because the patient with Addison's disease does not have adequate steroid hormones. Blood glucose levels are monitored if a patient is on high-dose steroids, not for replacement steroids. Diet and exercise are important but are not immediately life threatening if not carried out.
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