Question

a nurse is at a providers office is assessing a client who has been taking hydrocortisone for adrenal insufficiency for adrenal insufficiency. the client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the clients dosage?

1. Hypotension

2. Hyperglycemia

3. Weight gain

4. Fat distribution

Answer 1

The hydrocortisone sodium therapy is widely used to replace cortisol deficiency in case of adrenal insufficiency. And if client reports fatigue and feeling overwhelmed by personal responsibilities. If the patient having hypotension then in that case the nurse should identify as an indication the provider might need to increase the clients dosage, as the hypotension may aggrevate/worsen the conditions of adrenal deficiency and related arenal fatigue. And hypotension and associated fatigue are major disgnostic symptoms of the adrenal deficiency. Hence f patient reports the fatigue and feeling overwhelmed by personal responsibilities even after the hydrocartisone therapy then there is need to increase the dose. Hence option 1 is correct.