A patient who is steroid dependent due to adrenocortical insufficiency calls the clinic and is very upset, telling the nurse of the extreme stress he or she is experiencing right now
What does the nurse expect the health care provider will order concerning his or her medication? A) The dosage may continue as ordered.
B) The medication may be discontinued until stress declines.
C) The dosage of the medication may be increased.
D) The dosage of the medication may be decreased.
C
Feedback:
The patient's body will initiate a stress reaction. Normally, activation of the stress reaction can cause release of adrenocorticotropic hormone (ACTH) and secretion of the adrenocortical hormones. A patient with adrenocortical insufficiency may not be able to supplement the increased need for ACTH. The stress reaction may block the immune and inflammatory systems, making the body more susceptible to pathogens. Therefore, an increase in medication may be necessary to prevent further adrenal insufficiency and to meet the increased demands for corticosteroids in the body under stress.
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