A client with a history of adrenocortical insufficiency is experiencing nausea,vomiting,hypotension,and seizures.The nurse suspects the client discontinued which medication?

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Quizplus · Accepted Answer

Adrenocortical insufficiency is treated by corticosteroids such as hydrocortisone. Abrupt discontinuation of these steroids can lead to acute adrenal crisis, which presents with symptoms such as nausea, vomiting, hypotension, and seizures. Therefore, the most likely medication that the client has discontinued is hydrocortisone. Fluticasone propionate is a steroid used for nasal congestion and has no role in the treatment of adrenocortical insufficiency. Cosyntropin is a synthetic form of ACTH used for diagnostic purposes in adrenocortical function testing. Methadone is an opioid used for pain management and has no connection to adrenocortical insufficiency.

A Client with a History of Adrenocortical Insufficiency Is Experiencing