The answer to this question is answer choice C. The statement by the client which indicates an understanding of the instructions when a nurse is teaching a client recovering from Addisonian crisis about the need to take fludrocortisone acetate and hydrocortisone at home is “I'll take two-thirds of the dose when I wake up and one-third in the late afternoon.”
This medication works best when taken at the same time that your body naturally secretes it. This happens in the morning when you first wake up and in the late afternoon.
I\ ll take two-thirds of the dose when i wake up and one-third in the late afternoon.-rationale: hydrocortisone, a glucocorticoid, should be administered according to a schedule that closely reflects the bodys own secretion of this hormone; therefore, two-thirds of the dose of hydrocortisone should be taken in the morning and one-third in the late afternoon. this dosage schedule reduces adverse effects.client needs category: physiological integrityclient needs subcategory: pharmacological and parenteral therapiescognitive level: applicationreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1485.
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