ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

Because aldosterone is the major mineralocorticoid secreted by the adrenal cortex, which fluid and electrolyte imbalance should the nurse anticipate with decreased secretion of this hormone?
  1. Hyperkalemia
  2. Hypernatremia
  3. Hypervolemia
  4. Hypercalcemia
Explanation
Answer - A - The primary fluid and electrolyte imbalances in Addison’s disease are hyponatremia, hypovolemia, and hyperkalemia. These imbalances are caused by decreased aldosterone secretion. Calcium levels are not affected by this condition.
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