What should the nurse explain to a client with Addison disease as the reason for needing mineralocorticoid replacement therapy?
1. Mineralocorticoids will reduce excessive serum glucose levels.
2. Mineralocorticoids will mimic the action of cortisol.
3. Mineralocorticoids will mimic the action of aldosterone.
4. Mineralocorticoids will reduce harmful bronzing of the skin.
Correct Answer: 3
Rationale 1: This is not an indication for use of mineralocorticoids.
Rationale 2: Mineralocorticoids do not mimic the action of cortisol.
Rationale 3: Mineralocorticoids, in addition to glucocorticoids, are indicated for use in clients with adrenocortical insufficiency.
Rationale 4: Bronzing of the skin would not be affected by the use of mineralocorticoids, and is not harmful to clients with Addison disease.
Global Rationale: Mineralocorticoids, in addition to glucocorticoids, are indicated for use in clients with adrenocortical insufficiency. They do not mimic the action of cortisol or affect the bronzing of the skin. Serum glucose levels are not affected.
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