After performing a head-to-toe assessment for a client with Addison’s disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132\/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?
A.
Make a referral for social services at home.<\/p>\n\n\n\n
B.
Continue to limit daily fluid intake to 500 mL.<\/p>\n\n\n\n
C.
Begin preparing the client for discharge home.<\/p>\n\n\n\n
D.
Recommend strict intake and output monitoring.<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is C. Begin preparing the client for discharge home.<\/strong><\/p>\n\n\n\n In the context of a client with Addison’s disease, the nurse’s head-to-toe assessment reveals several positive indicators: moist mucous membranes, strong palpable peripheral pulses, and a blood pressure of 132\/88 mm Hg. These findings suggest that the client is currently stable and well-hydrated, which is crucial for someone with Addison’s disease, a condition characterized by insufficient production of adrenal hormones.<\/p>\n\n\n\n The moisture in the mucous membranes indicates adequate hydration, while the strong peripheral pulses and normal blood pressure suggest effective circulatory status. Furthermore, the client demonstrates an understanding of their illness and the importance of adhering to a medication regimen, which is essential for managing Addison’s disease effectively. Patients typically require lifelong glucocorticoid and possibly mineralocorticoid replacement therapy to compensate for the adrenal insufficiency.<\/p>\n\n\n\n Given these favorable assessment findings, the nurse’s next appropriate action is to begin preparing the client for discharge. This includes educating the client about the signs and symptoms of adrenal crisis, the necessity of daily medication adherence, dietary recommendations (such as adequate salt intake if indicated), and how to manage their condition effectively at home.<\/p>\n\n\n\n Options A, B, and D are less appropriate in this context. Referral for social services may not be necessary unless specific social support needs arise. Limiting daily fluid intake to 500 mL contradicts the need for adequate hydration, especially when managing Addison’s disease. Monitoring strict intake and output might be relevant in cases of dehydration or significant health issues, but given the current stable assessment, it is not a priority at this time.<\/p>\n\n\n\n Thus, with the client\u2019s stable condition and understanding of their care plan, the most appropriate action is to initiate discharge preparations.<\/p>\n","protected":false},"excerpt":{"rendered":" After performing a head-to-toe assessment for a client with Addison’s disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132\/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?A.Make […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-143199","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=143199"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/143199\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=143199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=143199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=143199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n