The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance?
1. Hypernatremia and hyperglycemia
2. Hypernatremia and hyperkalemia
3. Hypocalecmia and hyperkalemia
4. Hypoglycemia and hyponatremia
Correct Answer: 1
Rationale 1: Hypernatremia and hyperglycemia are seen due to the aldosterone effects (mineralcorticoid activity) causing sodium and fluid retention, and elevations of blood glucose due to promotion of gluconeogenesis.
Rationale 2: Hypernatremia would be seen, but hypokalemia would be seen, not hyperkalemia.
Rationale 3: Hypercalcemia and hypokalemia would be seen with this therapy.
Rationale 4: Hypoglycemia and hyponatremia would not be seen with hydrocortisone therapy.
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