A client has been taking corticosteroids. The nurse suspects that the client has a history of adrenocortical insufficiency when the use of which other medication is documented in the record?
1. Isosorbide
2. Ciprofloxacin
3. Fludrocortisone
4. Metformin
Correct Answer: 3
Rationale 1: Isosorbide is not used for adrenocortical insufficiency.
Rationale 2: Ciprofloxacin is not used for adrenocortical insufficiency.
Rationale 3: Clients requiring replacement therapy usually take corticosteroids their entire lifetime, and concurrent therapy with a mineralocorticoid such as fludrocortisone is necessary.
Rationale 4: Metformin is not used for adrenocortical insufficiency.
Global Rationale: Clients requiring replacement therapy usually take corticosteroids their entire lifetime, and concurrent therapy with a mineralocorticoid such as fludrocortisone is necessary. Isosorbide, ciprofloxacin, and metformin are not used as therapy for adrenocortical insufficiency.
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