The nurse is caring for a client with Cushing's syndrome who returns to the surgical unit following an adrenalectomy. Which of the following actions during the initial postoperative period has the highest priority?
A)Monitoring for infection
B)Protecting the client's skin
C)Maintaining fluid and electrolyte status
D)Preventing severe emotional disturbances

Question

Quizplus · Accepted Answer

After adrenalectomy, the client is at risk for circulatory instability caused by fluctuating hormone levels, and the focus of care is to assess and maintain fluid and electrolyte status through the use of IV fluids and corticosteroids. The other goals are also important for the client but are not as immediately life-threatening as the circulatory collapse that can occur with fluid and electrolyte disturbances.

The Nurse Is Caring for a Client with Cushing's Syndrome