A Patient with Adrenal Insufficiency Asks Why the Skin Looks

A patient with adrenal insufficiency asks why the skin looks so tan.What should the nurse respond to this patient?

A) "The darker skin means the hormone from the hypothalamus is 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."