A patient has been admitted with a diagnosis of Addison’s disease and vomiting and nausea for 2 days. The doctor has prescribed IV Glucocorticoids. Which is the most appropriate intervention to monitor the patient?
  1. Daily weights and monitoring of sodium and potassium levels.
  2. Glucometer checks every 6 hours.
  3. Anticipate an order for an NG tube and have the equipment at the bedside.
  4. Administer anti anxiety medications around the clock.
Explanation
Answer: B - The most appropriate intervention would be to monitor the blood glucose levels using a Glucometer. Glucocorticoids raise the blood sugar and the patient may need insulin to balance out the harmful effects of an elevated blood sugar.
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