Difficulty: Medium
Average Score: 81%
Simulated
A 47-year-old client presents to the emergency department with severe hypotension, muscle weakness, fatigue, and vomiting. Labs reveal a potassium level of 6.1 mEq/L and a sodium level of 128 mEq/L. Which of the following should the nurse anticipate for this client?
Correct answer
C
Rationale
Symptoms and labs suggest Addisonian crisis (hypotension, hyperkalemia, hyponatremia). IV saline, dextrose, and hydrocortisone (C) stabilize the client. Spironolactone (A) worsens hyperkalemia, Lactated Ringer's (B) is less specific, and potassium (D) is contraindicated.