NCLEX-PN

Category - Reduction of Risk

The nurse is caring for a client with Addison’s disease. Which of the following assessments require immediate notification to the RN or physician?
  1. BP 90/60, severe headache
  2. BP 150/90, muscle weakness
  3. BP 120/90, fatigue
  4. Fatigue, gastrointestinal disturbances
Explanation
Answer: A - If a client with Addison’s disease develops hypotension, severe headache, generalized weakness, and mental status changes, the nurse should suspect Addisonian crisis, a medical condition that necessitates immediate intervention. Clients with Addison’s disease or Addisonian crisis do not typically develop hypertension. The other options include symptoms commonly seen in clients with Addison’s disease and do not require immediate interventions.
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