The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?

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Medical Surgical Endocrine Practice Quiz Questions

Question 1 of 5

The nurse in ICU cares for a client with adrenocortical insufficiency (Addison's) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first?

Correct Answer: A

Rationale: Addisonian Crisis is life-threatening with hypotension and hypoglycemia. Emergency management includes immediate hydrocortisone IVP to replace cortisol.

Question 2 of 5

The nurse is caring for a client who requires treatment for hyperglycemic-hyperosmolar state (HHS). Which of the following interventions should the nurse be prepared to implement first?

Correct Answer: C

Rationale: Fluid resuscitation is the first step in HHS to correct severe dehydration.

Question 3 of 5

A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?

Correct Answer: B

Rationale: Straining increases ICP; coughing and nose blowing also risk CSF leak.

Question 4 of 5

A client recently admitted with hyperparathyroidism has a very high urine output. What does the nurse do first?

Correct Answer: B

Rationale: High urine output in hyperparathyroidism (from hypercalcemia) requires baseline I&O monitoring first.

Question 5 of 5

Peptide hormones function by binding to receptor proteins within the ________. Once the hormone binds to a receptor, it activates ______.

Correct Answer: C

Rationale: Peptide hormones, being water-soluble, bind to receptors on the plasma membrane, triggering intracellular second messengers like cAMP.

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