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A nurse is caring for a client with Addison's disease. Which of the following mursing considerations shoul dbe employed when caring for this client?

a. avoid sodium in the clients diet
b. monitor and protect skin integrity
c. document the specific gravity of urine
d. monitor increases in blood pressure

1 Answer

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Final answer:

Nurses should monitor skin integrity, document urine specific gravity, and watch for changes in blood pressure when caring for clients with Addison's disease, which typically involves low blood pressure.

Step-by-step explanation:

A nurse caring for a client with Addison’s disease should consider several important nursing considerations. One crucial aspect is to monitor and protect skin integrity, as patients with Addison’s disease may suffer from skin lesions and patchy skin color due to hormonal imbalances. Additionally, it is imperative to document the specific gravity of urine because aldosterone, a hormone affected by Addison's disease, plays a vital role in regulating sodium and water levels, thus influencing urine concentration. Lastly, it is essential to monitor for increases in blood pressure, although this is less common in Addison's disease because the condition typically results in low blood pressure due to low blood sodium levels and the inability to retain sodium and water.

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