The nurse in the endocrinology clinic is caring for a 44-year-old female client.
0900:Client takes oral fludrocortisone and hydrocortisone for primary adrenal insufficiency. The fludrocortisone dose was increased 2 weeks ago. Brings a daily weight log and home blood pressure readings. The primary health care provider set an individual home blood pressure goal below 140/90 mm Hg. No vomiting, missed doses or acute illness. The nurse reviews possible follow-up findings.
For each follow-up finding, click to specify whether it requires reporting to the primary health care provider or is consistent with stable treatment.
| Follow-Up Findings | Report | Stable Treatment |
|---|---|---|
| New swelling of both ankles | ||
| Unusual weight gain since the dose increase | ||
| Blood pressure 128/76 mm Hg without dizziness | ||
| Unchanged weight with no foot or leg swelling | ||
| Potassium 3.0 mEq/L (reference range 3.5–5.0 mEq/L) |
Note: Each row must have 1 response option selected.