A client with adrenocortical insufficiency has been taking corticosteroids for 9 months. What symptom should be reported to the health care provider immediately?

1. frequent palpitations
2. headache
3. nasal congestion
4. fatigue


Correct Answer: 1
Rationale 1: Electrolyte changes are associated with long-term corticosteroid therapy. Frequent palpitations warrant further investigation.
Rationale 2: Headache does not need to be reported to the health care provider immediately.
Rationale 3: Nasal congestion does not need to be reported to the health care provider immediately.
Rationale 4: Fatigue does not need to be reported to the health care provider immediately.
Global Rationale: Electrolyte changes are associated with long-term corticosteroid therapy. Frequent palpitations warrant further investigation. Headache, nasal congestion, and fatigue do not necessarily require contact with the health care provider.

Nursing

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