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Adrenal Glands and Cushing's Disease

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Questions and Answers

What is the primary goal of pharmacologic management in primary adrenal insufficiency?

To reduce the production of glucocorticoids

To inhibit the production of cortisol

To correct fluid and electrolyte imbalances (correct)

To stimulate the production of ACTH

What is the purpose of the ACTH stimulation test in diagnosing primary adrenal insufficiency?

To assess the response of cortisol to ACTH stimulation (correct)

To diagnose Cushing's syndrome

To stimulate the production of ACTH

To measure the levels of cortisol in the blood

What is the primary nursing consideration for patients with Cushing's syndrome?

Tapering the dose of glucocorticoids when discontinuing

Reporting symptoms of adrenal insufficiency

Administering glucocorticoids with food

Monitoring weight, blood pressure, and electrolyte levels (correct)

What is the potential consequence of suddenly discontinuing glucocorticoid medication in patients with adrenal insufficiency?

Acute adrenal crisis Signup and view all the answers

What is the primary role of hydrocortisone in the management of adrenal insufficiency?

To replace glucocorticoids as an adrenocorticoid Signup and view all the answers

What is the primary symptom of bronze skin in patients with adrenal insufficiency?

Hyperpigmentation Signup and view all the answers

What is the purpose of increasing the dosage of glucocorticoids during periods of stress or illness?

To prevent acute adrenal insufficiency Signup and view all the answers

What is the primary laboratory finding in primary adrenal insufficiency?

Decreased serum cortisol levels Signup and view all the answers

What is the primary benefit of administering glucocorticoids with food?

To reduce the risk of gastric effects Signup and view all the answers

What is the primary reason for patient education on reporting symptoms of adrenal insufficiency?

To enable early identification of acute adrenal crisis Signup and view all the answers