adult health

Question 1

Addison disease

Answer 1

Addison disease causes corticosteroid deficiency;
findings include weight loss, low BP, and skin hyperpigmentation.

Question 2

Cushing syndrome:

Answer 2

Cushing syndrome causes high
corticosteroid levels; findings include weight gain, high BP, and moon face.

Question 3

Addison disease treatment:

Answer 3

Addison disease requires lifelong corticosteroid therapy. Do not abruptly stop corticosteroids, as this can trigger a life-threatening Addisonian crisis.

Question 4

Addisonian crisis:

Answer 4

Addisonian crisis is an acute, life-threatening corticosteroid deficiency. Clients in
Addisonian crisis have severe hypotension, hypoglycemia, and hyperkalemia and require treatment with IV corticosteroids.

Question 5

Cushing syndrome safety:

Answer 5

Cushing syndrome increases the
risk of fluid volume overload and pulmonary edema. Limit
sodium intake, monitor daily weights, and assess for signs of
fluid overload like edema, crackles, and bounding pulse.

Question 6

Pheochromocytoma safety:

Answer 6

Avoid abdominal palpation to prevent catecholamine release and hypertensive crisis.

Question 7

Hyperaldosteronism (Conn Syndrome):

Answer 7

Excess
aldosterone that is typically caused by an adrenal tumor

Question 8

Assessment findings

Answer 8

aldosterone  Sodium and water retention +
urinary potassium and hydrogen excretion, causing:
Hypertension
Hypernatremia and fluid overload
Hypokalemia
Metabolic alkalosis