Question

Which nursing instruction should the nurse discuss with the client who is receiving glucocorticoids for Addison's disease?

A- Explain that the dose will need to be decreased during time of stress or infection

B- Encourage the client to wear a Medic alert bracelet and carry a card in the wallet

C- Discuss the importance of tapering medication when discontinuing medication

D- Instruct the client to take medication on an empty stomach with a glass of water

Answer 1

The client with Addison's disease will have hypofunction of the adrenal gland.This is because of inadequate production of hormones such as cortisol and aldosterone.

So Glucocorticoids were given , but a correct dose should be given as replacement therapy.The client with Addison's disease who is on corticosteroid therapy though they are on treatment there may be sudden crisis or adrenal insufficiency so it is necessary to instruct the client to wear a medic alert bracelet and to carry a card.

Other options are incorrect, because tapering medication can be discussed at time when medication is going to be discontinued.This medication should be taken morning times but not with empty stomach.changing dose during stress and infection is not relevant.

So option B is correct.