hard · NCLEX-RN Physiological Adaptation

A client is receiving an IV infusion of 0.9% sodium chloride and hydrocortisone for Addisonian crisis. The nurse notes new-onset crackles at the lung bases and a BP of 150/94 mm Hg.

What is the nurse's priority action?

  1. Slow the IV infusion and notify the provider
  2. Administer an extra dose of hydrocortisone
  3. Increase the IV rate to further support the blood pressure
  4. Encourage the client to cough and deep breathe

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