NCLEX-PN

Category - Physiological Adaptation

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A nurse is assigned to care for a client with Addison’s disease. Which of the following findings on assessment indicates a need for immediate intervention?

BP = 80/60
BP = 150/100
Urine output = 100 mL/hour
Respiratory rate = 12 breaths/min

Explanation

Answer: A - The occurrence of hypotension could be an indication of Addisonian crisis. A blood pressure of 80/60 should be immediately reported to the RN or physician.

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