A client with primary adrenal insufficiency who takes daily glucocorticoid replacement reports repeated vomiti…

Question

A client with primary adrenal insufficiency who takes daily glucocorticoid replacement reports repeated vomiting, weakness, and dizziness and cannot keep oral medication down. Which instruction is the priority?

Accepted Answer

Option 2: Use the prescribed emergency hydrocortisone injection and obtain emergency medical care now.

Vomiting prevents reliable oral glucocorticoid absorption and can precipitate adrenal crisis. The client should use the prescribed emergency parenteral hydrocortisone and seek immediate medical care for fluids, monitoring, and continued stress-dose treatment.

Answer

Option 1: Skip today's glucocorticoid and restart it after vomiting has stopped for 24 hours.

Answer

Option 3: Take three oral doses together with small sips of water and remain at home.

Answer

Option 4: Limit fluids until nausea resolves to reduce the risk of further vomiting.

A client with primary adrenal insufficiency who takes daily glucocorticoid replacement reports repeated vomiting, weakness, and dizziness and cannot keep oral medication down. Which instruction is the priority?

In-depth explanation

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A client with primary adrenal insufficiency who takes daily glucocorticoid replacement reports repeated vomiting, weakness, and dizziness and cannot keep oral medication down. Which instruction is the priority?

In-depth explanation

Master the NCLEX-RN with MyMerci