A nurse is caring for a client who has Addisons disease and is at risk for addisonian crisis

Check expiration date on strips, perform a quality control test, perform hand hygiene, cleanse puncture site, apply blood sample onto test strip, document results:

Check expiration date on test strips: When opening a new bottle of blood glucose monitoring test strips, the expiration date must be checked to ensure accurate test results. When using a bottle that has already been used, the expiration dates must also be checked. Expired test strips should not be used, as the sensitivity to the blood sample can be altered past the intended date of accuracy.Perform a quality control test: Many test strips have a code that must be entered into the glucose monitor, or the vial may contain a code key that must be inserted into the monitor when using a new bottle of test strips. For these types of devices, the test strip must match the code number or an inaccurate reading can result. A quality control test will verify the monitor is working accurately. The quality control test is performed the same way as a blood glucose test, except a special solution is used instead of blood. The monitor should be calibrated, and a quality control test should be performed when using a new bottle of test strips (or as indicated by the facility policy). Many facilities require a daily quality control test. Perform hand hygiene: Hand hygiene reduces the transfer of micro-organisms which could lead to inaccurate readings. Hand hygiene reduces the number of transient micro-organisms which can enter the puncture site and cause an infection. The nurse should wash hands and don gloves prior to performing the glucose test.Cleanse puncture site: The site should be cleansed with warm water and soap and allowed to dry. Alcohol can interfere with the results and should be avoided. The nurse should puncture the lateral side of the finger, which has less nerve endings but is vascular, to provide an adequate blood supply for testing. Apply blood sample onto test strip: The first drop of blood may have less red blood cells and more serous fluid, which can lead to an inaccurate reading. The nurse should wipe off the first drop of blood and lightly squeeze the finger without touching the puncture site to ensure an adequate-size droplet for testing. After a blood sample is obtained, apply a cotton ball over the puncture site. Document results: The nurse should process the strip reading. Remove gloves and wash hands.

Which of the following is a priority for a client with Addisonian crisis?

What happens in an Addison's crisis?

Which medication should a nurse plan to administer to a client admitted in Addisonian crisis?

Which signs and symptoms would the nurse expect to find in a patient with Addisons disease?