Which intervention should the nurse include in the care plan for a client with Addison's disease?

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Multiple Choice

Which intervention should the nurse include in the care plan for a client with Addison's disease?

Explanation:
Addison's disease causes a deficiency of cortisol, which disrupts energy, vascular tone, and electrolyte balance. The best nursing intervention is to administer steroid medications as prescribed, because hormone replacement directly addresses the missing cortisol and helps stabilize blood pressure, mood, and metabolism. Glucocorticoid replacement (often hydrocortisone) is typically lifelong, and doses may need to be increased during stress or illness to prevent an Addisonian crisis. Some patients also require mineralocorticoid replacement to maintain sodium and fluid balance. Education should emphasize consistent dosing, recognition of crisis symptoms (severe weakness, vomiting, dizziness, confusion, dehydration), and seeking prompt care for stress dosing or crisis. Fluid monitoring and electrolyte management are important, but fluid restriction would worsen dehydration and hypotension, not help.

Addison's disease causes a deficiency of cortisol, which disrupts energy, vascular tone, and electrolyte balance. The best nursing intervention is to administer steroid medications as prescribed, because hormone replacement directly addresses the missing cortisol and helps stabilize blood pressure, mood, and metabolism. Glucocorticoid replacement (often hydrocortisone) is typically lifelong, and doses may need to be increased during stress or illness to prevent an Addisonian crisis. Some patients also require mineralocorticoid replacement to maintain sodium and fluid balance. Education should emphasize consistent dosing, recognition of crisis symptoms (severe weakness, vomiting, dizziness, confusion, dehydration), and seeking prompt care for stress dosing or crisis. Fluid monitoring and electrolyte management are important, but fluid restriction would worsen dehydration and hypotension, not help.

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