Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
Medical HistoryVital Signs
Physical Examination
Chronic use of hydrocortisone and fludrocortisone
History of hypertension
Recent viral illness with vomiting and diarrhea
A 55-year-old male client is brought to the emergency department by his spouse due to sudden weakness, dizziness, and confusion. The spouse states that the client has had persistent fatigue and nausea for the past few days but suddenly became disoriented and lethargic this morning. The client also reports severe abdominal pain and muscle cramps
Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct answer
D,E,F,A,D
Rationale
The client's symptoms and history of steroid use suggest acute adrenal crisis. Fluid resuscitation and glucose monitoring are critical actions, while blood pressure and electrolytes are key parameters to monitor.