The nurse is caring for a patient being treated with fludrocortisone (Florinef) for primary adrenal insufficiency
Upon review of the prescriber's order, the nurse realizes that the dosage is too high; the nurse would anticipate which of the following clinical manifestations? a. Sodium level of 141 and 3+ edema
b. Potassium level of 5.5
c. Blood pressure of 101/47
d. Pallor and poor turgor
A
When the dosage of fludrocortisone is too high, salt and water are retained in excess. These ef-fects can result in expansion of blood volume, hypertension, edema, and hypokalemia.
One would not have a high potassium level but rather one would expect a low potassium level.
One would not have low blood pressure but rather one would expect high blood pressure.
Pallor and poor turgor are consistent with dehydration, not fluid volume overload.
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