The nurse is planning the care of a client diagnosed with Addison's disease. Which interventions should be included?

• A. Administer steroid medications
• B. Place the client on fluid restriction
• C. Provide frequent stimulation
• D. Consult physical therapy for gait training

Answer: (A)

Administer steroid medications is the best choice because Addison’s disease is an adrenal insufficiency where cortisol (and often aldosterone) is lacking. Replacing these hormones with glucocorticoids (such as hydrocortisone) is the cornerstone of treatment, and mineralocorticoid replacement may be needed to maintain sodium balance and blood pressure. This replacement therapy prevents crises and supports the body’s stress response, metabolism, and electrolyte balance.

Worry about fluids: restricting fluids would worsen dehydration and hypotension that come from aldosterone deficiency, so fluid restriction is not appropriate. Providing frequent stimulation isn’t a targeted intervention for this condition, and gait training with physical therapy isn’t a primary requirement unless there’s a separate musculoskeletal issue.