A patient with a diagnosis of Addison's disease has had fludrocortisone acetate (Florinef Acetate) added to his medication regimen by his endocrinologist. What is the most plausible rationale for this change in treatment?
A) The patient's anterior pituitary gland is overstimulated.
B) The patient requires increased mineralocorticoid supplementation.
C) The patient's adrenal cortex has become resistant to hydrocortisone.
D) The patient's GI tract is unable to tolerate hydrocortisone.
B
Feedback:
If a patient with Addison's disease requires additional mineralocorticoid supplementation, then fludrocortisone acetate (Florinef Acetate) may be indicated. Pituitary dysfunction, GI intolerance, and resistance to hydrocortisone are not plausible rationales.
You might also like to view...
The nurse working with obstetric patients understands the role of the placenta includes what?
A) Endocrine gland B) Protection C) Production of glucose D) Expelling the fetus
Which of the following statements is true about the medical management of diabetic ketoacidosis?
a. Serum lactate levels are used to guide insulin administration. b. Sodium bicarbonate is a first-line medication for treatment. c. The degree of acidosis is assessed through continuous pulse oximetry. d. Volume replacement and insulin infusion often correct the acidosis.
A patient is being discharged after surgery. During the admission history, the nurse learned that the patient normally consumes two or three glasses of wine each day. The prescriber has ordered hydrocodone with acetaminophen [Lortab] for pain
What will the nurse do? a. Request an order for acetaminophen without hydrocodone for pain. b. Suggest that the patient use ibuprofen for pain. c. Tell the patient not to drink wine while taking Lortab. d. Tell the patient to limit wine intake to one or two glasses per day.
Two parents were both married once before. The father has two children from his previous marriage, and the mother has one child from her previous marriage. When they combine their families, they become which type of family?
A) Double unit B) Blended C) Single unit D) Extended