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Chapter 21: Problem 76

Which action should receive priority if the client is experiencing Addisonian crises? A. Judicious monitoring for hypotension and treatment of shock B. Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure C. Treat the client by administering calcium carbonate to prevent osteoporosis D. Explain to the client the need to continue treatment for adrenocortical hyposecretion

Short Answer

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A. Judicious monitoring for hypotension and treatment of shock B. Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure C. Administration of calcium carbonate to prevent osteoporosis D. Explaining to the client the need to continue treatment for adrenocortical hyposecretion Answer: A. Judicious monitoring for hypotension and treatment of shock

Step by step solution

01

Evaluate Option A

Judicious monitoring for hypotension and treatment of shock is an appropriate action in an Addisonian crisis. This is because this condition can lead to dangerously low blood pressure (hypotension) and potentially fatal shock. By monitoring and treating hypotension and shock, we can help prevent further complications and increase the chances of survival for the client.
02

Evaluate Option B

Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure seems to not be the proper choice, as an Addisonian crisis causes hypotension (low blood pressure), not hypertension (high blood pressure). Thus using an alpha-adrenergic blocker may worsen the client's condition by further lowering their blood pressure.
03

Evaluate Option C

Treating the client by administering calcium carbonate to prevent osteoporosis addresses a potential long-term consequence of a cortisol deficiency but does not directly address the urgent needs of the client during an Addisonian crisis. While it may be necessary as part of the ongoing treatment plan for the client, it does not take priority in this acute crisis.
04

Evaluate Option D

Explaining to the client the need to continue treatment for adrenocortical hyposecretion is important for the client's long-term management of their condition. However, during an Addisonian crisis, this action does not address the immediate life-threatening symptoms and does not take priority.
05

Determine the priority action

Judging from the evaluations of the options, Option A - Judicious monitoring for hypotension and treatment of shock - is the most appropriate action to take during an Addisonian crisis. This action directly addresses the life-threatening complications that may arise during this condition and therefore should receive priority.

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