Paramedics bring a 66-year-old woman to the ED. Her blood pressure is 104/58 mmHg, pulse rate 44 beats/minute, respiratory rate 14 breaths/minute, and temperature 92.4o F (33.6oC). No medical history is available, except for the patient’s statement of not feeling well for the past month. Physical examination reveals a lethargic, thin woman with dry skin and periorbital and facial edema. Bilateral pulmonary congestion is noted. EKG monitoring shows sinus bradycardia. The physician diagnoses impending myxedema coma. The patient remains hypothermic, with a temperature of 95o F (35oC). The nurse would anticipate the treatment for this patient to include all of the following except:

All of the following nursing diagnoses would be appropriate for a patient with HHNK except:

Which diagnostic test is the best indicator for a patient with adrenal crisis?

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of:

A 68-year-old woman is brought to the ED by her son, who informs the nurse that his mother has been experiencing weakness, polydipsia, and polyuria for the past few days.Initial laboratory studies reveal a serum glucose level of 2,000 mg/dL no ketones are detected in the urine. The physician diagnoses HHNK. Which assessment finding would result in a change in the level of consciousness in a patient with HHNK?

A friend brings a 25-year-old man to the ED. The patient had been complaining of blurred vision, headache, slurred speech, and weakness. He is now comatose. Earlier in the morning, he had been playing tennis. Immediate laboratory studies indicate a serum glucose level of 34 mg/dL. The nurse suspects that this patient’s symptoms resulted from:

The nurse would assess for hyperkalemia by observing for which EKG change:

Which nursing action is not a priority during the initial management of a patient with HHNK?

Nursing care of a patient with adrenal crisis should focus on the prevention of which life-threatening aspect of adrenal crisis:

Which patient would not be considered at risk for developing SIADH?

A client is newly diagnosed with Addison’s disease. The nurse understands that this condition includes a decrease of which of the following hormones? Select all that apply.

A nurse is caring for a client who has been diagnosed with Addison’s disease. The nurse is teaching about symptoms of Addisonian crisis in order to best manage and prevent it before it occurs. What symptoms should the client look for that the nurse should include as part of teaching? Select all that apply.

A client is experiencing an adrenal crisis due to Addison’s Disease. Which of the following would NOT be a priority nursing intervention for this client?

The nurse is caring for a client with Addison disease. Which of the following manifestations of this condition should the nurse expect? Select all that apply.

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

What structure is circled in yellow in this image?

A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates the adrenal cortex. What is an appropriate term for this hormone?

The nurse is caring for a client who is starting a long-term regimen of glucocorticoids for adrenal insufficiency. Which of the following teaching points is appropriate for the nurse to include when educating the client on this medication? Select all that apply.

A client is experiencing an adrenal crisis due to Addison’s Disease. Which of the following would NOT be a priority nursing intervention for this client?

A client is newly diagnosed with Addison’s disease. The nurse understands that this condition includes a decrease of which of the following hormones? Select all that apply.

The nurse walks into a client’s room and notices that their skin is a dark bronze color. The nurse knows this could indicate which of the following diseases?

A client is admitted to the hospital with primary adrenal insufficiency. Which of the following drugs does the nurse anticipate giving for this condition? Select all that apply.

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

The nurse is caring for a client with Addison disease. Which of the following manifestations of this condition should the nurse expect? Select all that apply.

The client needs replacement of the hormones necessary for the regulation of fluid and electrolyte balance within the body. Which hormones will the nurse expect to replace? Select all that apply.