2024 PN NCLEX Questions Nursing Practice Question
Which reported symptom(s) would indicate a client with Addison's disease has received too much fludrocortisone (Florinef) replacement?
Correct Answer: B
Rationale: Weight gain of 6 pounds in one week suggests fluid retention, a common side effect of excessive fludrocortisone, which mimics aldosterone's action on sodium retention.
Option A, oily skin and hair, is not typically associated with fludrocortisone overuse; these symptoms are more related to hormonal changes or other conditions.
Option C, loss of muscle mass, does not align with fludrocortisone effects; rather, it could indicate other issues such as prolonged corticosteroid use or inactivity.
Option D, increased blood glucose levels, is more relevant to glucocorticoid excess rather than mineralocorticoid effects like those from fludrocortisone.