The nursing care for the patient in Addisonian crisis should include which of the following interventions?

A) Encouraging independence with activities of daily living (ADLs)
B) Allowing ambulation as tolerated
C) Offering extra blankets and raising the heat in the room to keep the patient warm
D) Placing the patient in a private room


Ans: D
Feedback: The patient in an Addisonian crisis has a reduced ability to cope with stress due to an inability to produce corticosteroids. Compared to a multibed room, a private room is easier to keep quiet, dimly lit, and temperature controlled. What's more, visitors can be limited to reduce noise, promote rest, and decrease the risk of infection. The patient should be kept on bed rest, receiving total assistance with ADLs because ambulation isn't allowed. Because extremes of temperature should be avoided, measures to raise the body temperature, such as extra blankets and turning up the heat, should be avoided.

Nursing

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