A patient was admitted with Addison's disease. Assessment now reveals nausea, vomiting, and confusion. The nurse anticipates which urgent intervention?

1. Placement of a nasogastric tube.
2. Administration of intravenous hydrocortisone.
3. Administration of intravenous diuretic.
4. Immediate endotracheal intubation.


2
Rationale 1: A nasogastric tube may be necessary but is not the priority.
Rationale 2: Acute adrenal insufficiency requires immediate treatment with intravenous hydrocortisone.
Rationale 3: A diuretic may or may not be necessary but is not the priority.
Rationale 4: Intubation may or may not be necessary but is not the priority.

Global Rationale: Acute adrenal insufficiency requires immediate treatment with intravenous hydrocortisone. A nasogastric tube may be necessary but is not the priority. A diuretic and intubation may or may not be necessary but are not the priority.

Nursing

You might also like to view...

The nurse assessing a patient's wound notes thick, yellow drainage. The nurse documents this finding as:

a. serous drainage. b. purulent drainage. c. sanguineous drainage. d. serosanguineous drainage.

Nursing

Which of the following interventions are included as part of a glucose tolerance test? Select all that apply

1. Blood samples are collected at various intervals. 2. The patient is connected to numerous electrodes. 3. The patient ingests concentrated glucose syrup. 4. Urine samples are collected at various intervals. 5. The patient remains NPO except for water during the test.

Nursing

A nurse who uses such data as minutes from a community meeting is using

a. Secondary analysis b. Informant interviews c. A survey d. A windshield survey

Nursing

National efforts to improve the user experience are under way in the United States. One organization involved with this effort is the:

A. Office of Technology and Disasters. B. American Nurses Association. C. National Institute of Standards and Technology. D. National League for Nursing.

Nursing