A Patient with Adrenal Insufficiency Asks Why Their Skin Looks

A patient with adrenal insufficiency asks why their skin looks so tan. What is the best response by the nurse?

A) "The darker skin means the hormones from the hypothalamus are low."
B) "The darker skin is caused by the destruction of the cells of the adrenal glands."
C) "The darker skin means that you have too much of the hormones cortisol and aldosterone."
D) "The hormone causing the darker skin shares the same hormone as the one helping to overcome the insufficiency."