Certified Emergency Nurse (CEN) Practice Test

The treatment of Addison's disease during a crisis, also known as an adrenal crisis, requires immediate medical intervention to stabilize the patient. Administering oxygen and managing fluids is crucial because an adrenal crisis often leads to severe dehydration and electrolyte imbalances, which can be life-threatening. Ensuring adequate fluid volume helps to maintain blood pressure and improve tissue perfusion.

In addition to fluid management, supplementation with exogenous glucocorticoids, such as hydrocortisone, is often necessary to counteract the acute adrenal insufficiency. The combined approach of oxygen for respiratory support and fluid resuscitation is essential in addressing the critical symptoms of Addison's disease during a crisis.

Other options like intravenous fluids alone do not address the respiratory support aspect, while nutritional supplements would be inadequate in a crisis situation where immediate hormone replacement and fluid management are life-saving. Increased physical activity is not appropriate during an adrenal crisis as it could exacerbate the patient's condition.