Addison’s Disease Tan and Weight Loss

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Patients with Addison’s Disease may have bronzing of the skin (hyperpigmentation) and weight loss, plus fatigue at presentation. This patient is shown at presentation (left) and after treatement (right).

Lessons Related To Addison’s Disease Tan and Weight Loss

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Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)

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10 Adrenal and Thyroid Disorder Emergencies NCLEX Questions

Question 1 of 10

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

Monitoring the patient's rectal temperature and notifying the physician if the temperature rises above 101o F (38.3oC)

Administering insulin

Assessing the patient's neurologic status

Administering hypotonic saline solution

Question 2 of 10

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

Ineffective breathing pattern related to hyperventilation

Altered peripheral tissue perfusion related to decreased cardiac output

Potential for injury related to altered level of consciousness

Fluid volume deficit related to osmotic diuresis

Question 3 of 10

The nurse learns that a patient is iodine-sensitive and is in thyroid crisis. Based on this information, which drug would the nurse expect to be included in the treatment plan?

Levothyroxine sodium (Synthroid)

Phenytoin (Dilantin)

ACTH

Lithium carbonate (Lithobid)

Question 4 of 10

The nurse knows that emergency management of a comatose patient with hypoglycemia includes:

Administration of 50 mL of dextrose 50% IV

Infusion of 1 liter of dextrose 5% in water followed by measurement of blood glucose levels

Measurement of fasting blood sugar levels and administration of sweetened orange juice via a nasogastric tube

Measurement of fasting blood sugar levels and administration of 50 mL of dextrose 5% in water (D5W) IV

Question 5 of 10

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:

Glycopenia

Decreased response of the sympathetic nervous system

Neuroglycopenia

Decreased liver glycogenolysis

Question 6 of 10

The nurse would expect the initial treatment of this patient to include all of the following except:

Administration of demeclocycline hydrochloride (Declomycin) 300 mg PO

Administration of furosemide (Lasix)

Administration of 3% hypertonic saline solution

Fluid restriction

Question 7 of 10

Which statement regarding myxedema coma is true:

All of the above

It does not occur in all patients with hypothyroidism

It is an extremely advanced form of hypothyroidism

All patients who have myxedema coma are in a hypothyroid state

Question 8 of 10

Which electrolyte imbalance would the nurse expect a patient to have in myxedema coma?

Hypernatremia

Hypokalemia

Hyponatremia

Hyperkalemia

Question 9 of 10

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?

BUN level of 50 mg/dL

Serum osmolarity of 380 mOsm/L

Serum sodium level of 125 mEq/L

Nonketotic state

Question 10 of 10

Prevention of which potential complication is the goal of nursing care for a patient with SIADH:

Hypotension

Seizures

Tetany

All of the above

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Addisons Assessment Nursing Mnemonic (STEROID)

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Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

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5 Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency) NCLEX Questions

Question 1 of 5

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.

Abdominal bloating

Hypertension

Chronic fatigue

Muscle weakness

Weight gain

Question 2 of 5

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.

Mineralcorticoids

Androgen

Insulin

Glucocorticoids

Testosterone

Question 3 of 5

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?

Monitor for hypoglycemia

Monitor for hyponatremia

Monitor for hypocalcemia

Monitor for fluid volume deficit

Question 4 of 5

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.

Severe headache

Dehydration

High blood pressure

Generalized weakness

Sudden pain in the lower back or abdomen

Question 5 of 5

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?

Addison's occurs as the result of decreased secretions of hormones while Cushing's occurs as a result of increased secretion

Addison's causes signs of masculinity in women while Cushing's causes atrophy of skin, tissues, and hair

Addison's requires treatment with lifetime hormone replacement therapy while Cushing's does not

Addison's is caused by hyperplasia of the adrenal gland while Cushing's is caused by pituitary enlargement

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Addisons Disease

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10 Addisons Disease NCLEX Questions

Question 1 of 10

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?

Huntington's disease

Bell's palsy

Addison's disease

Alcoholism

Question 2 of 10

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?

Monitor for hypoglycemia

Monitor for hypocalcemia

Monitor for hyponatremia

Monitor for fluid volume deficit

Question 3 of 10

Addison's is caused by hyperplasia of the adrenal gland while Cushing's is caused by pituitary enlargement

Addison's causes signs of masculinity in women while Cushing's causes atrophy of skin, tissues, and hair

Addison's requires treatment with lifetime hormone replacement therapy while Cushing's does not

Addison's occurs as the result of decreased secretions of hormones while Cushing's occurs as a result of increased secretion

Question 4 of 10

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.

Growth hormone

Prednisolone

Vasopressin

Prednisone

Dexamethasone

Question 5 of 10

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.

Chronic fatigue

Weight gain

Muscle weakness

Hypertension

Abdominal bloating

Question 6 of 10

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?

adrenocorticotropic hormone

adrenotropin

adrenal cortectomy

corticosteroid hormone

Question 7 of 10

Severe headache

Dehydration

Generalized weakness

High blood pressure

Sudden pain in the lower back or abdomen

Question 8 of 10

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.

Insulin

Mineralcorticoids

Testosterone

Glucocorticoids

Androgen

Question 9 of 10

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.

Glucocorticoids mask the signs of infection

Hyperglycemia is a side effect of glucocorticoids

Glucocorticoids should be used carefully if diabetes mellitus is present

Glucocorticoids decrease the risk of osteoporosis

The client should monitor for weight gain and edema

Question 10 of 10

What structure is circled in yellow in this image?

Pons

Pancreas

Adrenal gland

Pituitary gland

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Score an 80% or better on these Addisons Disease questions to master this lesson.

Addison’s Disease Tan and Weight Loss

300,000+ Students Use These Cheatsheets To Pass NCLEX

What email should we send your results to?

What email should we send your results to?

What email should we send your results to?

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