Endocrine Question #49

Question

The nurse is assessing a client admitted with Addison’s Disease. Assessment findings consist of generalized muscular weakness, hypotension, irritability, and hyperpigmentation of skin. Which lab values would the nurse expect to find?

Answers

  1. Hyperkalemia, Hypercalcemia
    • Rationale:
  2. Hypokalemia, Hypocalcemia
    • Rationale:
  3. Elevated cortisol level
    • Rationale:
  4. Elevated glucose level
    • Rationale:

Overview

Explanation

Addison’s disease may exhibit laboratory results indicating hyperkalemia, hypercalcemia, and decreased levels of sodium and low blood pressure. The condition is caused by hyposecretion of adrenal cortex hormones. Electrolyte imbalance may occur and may be triggered from stress, trauma, or surgery. The other laboratory results are characteristic of the opposite condition, Cushing’s disease or Cushing’s syndrome.

Learning Outcomes

Test Taking Tip

Video Rationale