Question

The nurse is developing a plan of care for a client with Addison's disease. The nurse has identified a problem of risk for deficient fluid volume and identifies nursing interventions that will prevent this occurrence. Which interventions should the nurse include in the plan of care? Select all.

A. Monitor for changes in mentation
B. Encourage intake of low-protein
C. Encourage intake of low-sodium
D. Encourage fluid intake of at least 3000 mL per day
E. Monitor vitals, skin turgor, and I&O

Answer 1

The nurse should include interventions such as monitoring for changes in mentation, encouraging fluid intake of at least 3000 mL per day, and monitoring vitals, skin turgor, and I&O in the plan of care for a client with Addison's disease to prevent the risk of deficient fluid volume.

Step-by-step explanation:

The nurse should include the following interventions in the plan of care for a client with Addison's disease:

1. Monitor for changes in mentation: Addison's disease can cause mental changes such as confusion, lethargy, and changes in level of consciousness. Monitoring for these changes can help identify early signs of fluid volume deficit.
2. Encourage fluid intake of at least 3000 mL per day: Adequate fluid intake is important in preventing fluid volume deficit. Monitoring intake can also help assess for any inadequate fluid intake.
3. Monitor vitals, skin turgor, and I&O: Vital signs, skin turgor, and intake and output measurements can provide important information about the client's fluid status and help identify early signs of fluid volume deficit.