A child will require lifelong cortisol replacement therapy following the removal of adrenal glands. The family should be taught
1. to discontinue the injections afterone week.
2. that hydrocortisone is only availablein oral form,so the medication will need to be held if the child has nausea or vomiting.
3. that the child should take thehydrocortisone on an empty stomach.
4. to administer the medication early inthe morning or every other day in the a.m.
Answer:4
Rationale: Administering the medication early in the morning or every other day causes fewer symptoms and mimics the normal diurnal pattern of cortisol secretion. The injections should not be discontinued abruptly.Injectable hydrocortisone is available and should be kept on hand if the child is unable to take the medication by mouth.Cortisone should be taken with food.
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