The nurse is caring for a patient experiencing acute Addisonian crisis. Which laboratory data would the nurse expect to find?
A) Hyperkalemia
B) Reduced blood urea nitrogen (BUN)
C) Hypernatremia
D) Hyperglycemia
Ans: A
Feedback: In adrenal insufficiency, the patient has hyperkalemia due to reduced aldosterone secretion. BUN increases, as the glomerular filtration rate is reduced. Hyponatremia is caused by reduced aldosterone secretion. Reduced cortisol secretion leads to impaired glyconeogenesis and a reduction of glycogen in the liver and muscle, causing hypoglycemia.
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The Office of Homeland Security has a mission to rebuild the crumbling public health infra-structures of each state and provide:
a. Vaccines for smallpox, anthrax, and plague b. Regulation of nuclear weapons c. Surveillance of bioterrorism threats d. Regulation of foreign nurses entering the United States