A client presents to the ED with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for this client?

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Question 1 of 5

A client presents to the ED with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for this client?

Correct Answer: B

Rationale: Hypotension (84/44) in adrenal insufficiency requires isotonic fluids first for shock management.

Question 2 of 5

From a medical perspective, ______ hormones can be taken orally because they are water-insoluble lipids and poorly digested.

Correct Answer: D

Rationale: Steroid hormones are lipid-soluble and resist digestion, making them suitable for oral administration, unlike peptide hormones.

Question 3 of 5

Hormones produced by the hypothalamus and secreted by the posterior pituitary include:

Correct Answer: B

Rationale: ADH and oxytocin are made in the hypothalamus and released by the posterior pituitary.

Question 4 of 5

Simple goiter can be prevented by _________.

Correct Answer: B

Rationale: Iodine supplementation prevents goiter by ensuring adequate thyroid hormone production.

Question 5 of 5

The main mineralocorticoid produced by the adrenal cortex is _____.

Correct Answer: D

Rationale: Aldosterone regulates sodium and potassium balance as the primary mineralocorticoid.

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