Question

Which action should receive priority if the client is experiencing Addisonian crises? A. Judicious monitoring for hypotension and treatment of shock B. Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure C. Treat the client by administering calcium carbonate to prevent osteoporosis D. Explain to the client the need to continue treatment for adrenocortical hyposecretion

Short answer

Answer: The most appropriate action to take during an Addisonian crisis is judicious monitoring for hypotension and treatment of shock.

Step-by-step solution

Evaluate answer choices for appropriateness

Let's consider which action should receive priority in the event of an Addisonian crisis.

Consider option A

Judicious monitoring for hypotension and treatment of shock: An Addisonian crisis can lead to severe hypotension and shock, which are life-threatening conditions. Therefore, monitoring the client's blood pressure and administering appropriate treatment is crucial in managing the crisis.

Consider option B

Administration of an alpha-adrenergic blocker to treat extreme elevations in blood pressure: While blood pressure issues can occur in Addisonian crises, the primary concern is hypotension, not hypertension. An alpha-adrenergic blocker can be useful for treating hypertension, but that is not the priority in this situation.

Consider option C

Treat the client by administering calcium carbonate to prevent osteoporosis: Although clients with Addison's disease are at risk for developing osteoporosis, this is not the primary concern during an Addisonian crisis. The priority is to address the life-threatening aspects of the crisis before focusing on long-term health complications.

Consider option D

Explain to the client the need to continue treatment for adrenocortical hyposecretion: Again, while ongoing treatment is important for managing Addison's disease, the immediate priority in an Addisonian crisis is addressing the life-threatening aspects like hypotension and shock. Education about treatment can take place once the crisis has been managed.

Determine the correct answer based on analysis

Based on our evaluation of the answer choices, it becomes clear that option A, "Judicious monitoring for hypotension and treatment of shock," is the most appropriate action to prioritize during an Addisonian crisis.