After obtaining the information shown in the accompanying figure regarding a patient with Addison's disease, which prescribed action will the nurse take first?
a. Give 4 oz of fruit juice orally.
b. Recheck the blood glucose level.
c. Infuse 5% dextrose and 0.9% saline.
d. Administer oxygen therapy as needed.
ANS: C
The patient's poor skin turgor, hypotension, and hyponatremia indicate an Addisonian crisis. Immediate correction of the hypovolemia and hyponatremia is needed. The other actions may also be needed but are not the initial action for the patient.
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